metabolic diseases so why is it so hard to lose weight and keep the no weight our body perfectly defense dimmick simle body weight so we have several mechanisms including hormonal neuron and mechanisms protecting us from hunger now in times where we have everyway our food and we don't have to exercise and i will work and transportation modes are. sedentary if you want so. that falls back on us and of course as overweight and obesity what kind of patients come to you how biko their oh we see patients who have like 5 to 10 overweight and patients who weigh up to 300 kilograms which wouldn't fit in a chair like this even in this because it's a very very big chair you know exactly so we even need some time special transportation modes for those patients and it requires 3 to 4. fire over across to help and. report people to come to us for a diagnosis and treatment and what kind of concept do you offer we try to offer our patients and at geology based treatment of obesity this of course requires in the 1st place a clear diagnosis which includes homeowner causes of obesity and metabolism causes of obes