A 36-year-old lady patient with 5’2” height and weigh about 87 kg have been obese right from birth. Initially, it was not very apparent but around her adolescence, she began to notice it much more. She has tried various methods to lose weight with moderate success. But it succeeded temporarily and again regained the weight in 6-7 months. She has gone to various dieticians and again has had moderate success albeit at a tremendous price of having a very watered down social life.

She tends to overeat in most situations but never able to notice that. It is a packet of chips here and a Gulab jamun there which while looking very innocent and attractive have contributed to her inability to lose weight. She considers herself to be quite a strong-willed person and am quite successful in my business and my work. However, unable to understand in spite of being so motivated, why she is unable to…