Metabolism: The outward appearance that you describe may be related to the metabolism of the patient. They may be able to break down all that junk food so that they do not appear fat. However, don't be deceived as there may be manifestations in blood sugars and cholesterol that you may not see outwardly.These can have long term effects such as leading to chronic diseases like hypertension or diabetes mellitus.
Answered 11/22/2013
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