“…Since a body mass index (BMI) of>30 is associated with increased morbidity and mortality, from Correspondence to: N. N. Williams stroke, ischemic heart disease, and diabetes mellitus, morbidly obese individuals (i.e., those with >100% (ideal body weight or BMI >40 kJm 2) are especially at risk. In the United States, health care costs attributable directly to the complications of obesity amount to $68 billion per year, and an additional $30 billion per year is spent on weight reduction programs and special foods [10,21].…”