What factor often dictates future weight regulation more than simple willpower in lifelong conditions like severe obesity?
Answer
The metabolic programming established early in life
When considering complex, lifelong conditions such as severe obesity, the text suggests that the body's inherent regulatory systems play a crucial role that transcends later willpower. It is noted that the metabolic programming established early in life often dictates future weight regulation to a greater extent than efforts made later on. This concept speaks directly to the long-term, deeply ingrained nature of his challenge, explaining why change is difficult even when medical intervention is sought because the body's established patterns are so significant.
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