
I recently watched a documentary about 6 different obese men and women who went into programs like this in America and in the U.K., but in every case, they all had opportunities to cheat, and so they continued to gain weight even in the inpatient setting. Some had spouses/significant others who brought them food, sabotaging their progress. Some were able to call for delivery Chinese or pizza, etc. And the program directors basically took the position that whatever the patient wants to do, they can do.
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