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For example Hypothyroidism, Cushing syndrome, pco-syndrome or lipedema and several metabolic deficiencies. Then there’s also a plethora of psychological issues that can influence the metabolism and eating habits negatively. Even the social status has an proven effect on the bodyweight.
All we have is a couple of pictures of the child, it’s impossible to tell what is going on.
Oh wow, I didn’t catch that, I thought he was offering one of his own unloved children to someone more caring or…sane and was a little confused. Your reading of it makes way more sense.