Yes it is about what you eat. There are many out there who are obese for many reasons. Food is to ready available to all of us, especially the wrong types of food. Sugars and carbs are a real problem. Lack of exercise is another real problem. I work with the Morbidly obese and until I started working with them, getting to know them, and their habits from eating to exercising I was very judgmental. I know longer am, for the truly morbidly obese are nothing what you expect on a majority. We all have to have fuel (food) to function, if these people eat enough to get that fuel they gain weight, whether they exercise or not. Their weight just keeps creeping up little by little. If they starve themselves they can loose weight but not very much, and they don't have the energy to exercise. It is a cruel and vicious circle for them. The research we are doing with the truly morbidly obese so far is showing these patients are suffer from many disorders most of them leading to mitochondrial disease and how there bodies process natural insulin's. There metabolic systems stay in a permit state of storage, instead of using the fuel to create energy for the body it is storing it. Like the nomad theory of old. One of my saddest cases is a 46 old diabetic lady who was brought to us in a horrid state of health six months ago. She has been obese since the age of 7. She has battled her weight all her life. Her highest weight to date had been 366. She had balloon this round to 433, couldn't function so she put herself on "her diet" to bring her weight down again. Which she had, she brought it down to 256 but couldn't walk to the bathroom 10 feet away without oxygen deprivation or passing out she was so weak. She was also in a state of chronic diabetic crisis. Her daily food intake consistent of a 4 oz glass of orange juice for breakfast, a bowl of iceberg lettuce for lunch, and a apple with a glass of skim milk for dinner. For a treat once a week she would eat a bowl of oatmeal for breakfast, two poached eggs for lunch and hamburger patty with a steamed green vegetable for lunch, spread out thru the week. She was trying to live on less than 500 calories a day. She stated to us on admission that if she ate like normal people did she gained weight a pound at a time. She hates food, she considers it her enemy. We put her on a 1000 calorie diet, knowing that she would gain weight at first, but then would stabilize out and start loosing weight. She threw a fit said she could not eat that much she would start gaining weight again etc. We told her the plan, we had to tube feed her at first, got some strength back in her, had her exercising twice a day, eating her 1000 calories a day, her health improved, her diabetes stabilized. but she we were still waiting for her weight gain to stabilize and for her to start loosing weight. It is six month now and she has steadily gained weight. She is now 312, on a thousand calorie diet and exercising three times a day, plus walking twice a day. Her test have shown that she has multiple metabolic disorders, multiple endocrine disorders, and multiple immune systems disorders all link to mitochondrial diseases she was born with. Her internal power house was built wrong and doesn't work right, genetics. Most our truly morbidly obese have given up, they get tired of the fight and struggle it takes for them to keep their weight down to a manageable level. Mentally and emotionally they give up. They are accused of stuffing their faces, cheating on their diets, being lazy coach potatoes and mentally ill. They are discriminated against, shamed, humiliated, embarrassed, ridiculed, made fun of, laughed at, called names, nicknamed, joked about, ignored, hated, loathed, and shunned by society at large. There family and friends are embarrassed by them or for them. Most these people have hearts so full of love, mercy, kindness and caring for others, learned because of there situations, they are true gifts to humanity. Yet they are the unloved, untouched, unaccepted, and the unwanted of our society. Obesity especially Morbid Obesity is the last known acceptable prejudice practiced in the world today.