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  As simplistic as it may seem, obsessive, compulsive overeating disorders which lead to obesity are controllable with either self or professional help or both. First, one must recognize and admit the problem, have the desire to be healthy and the self discipline to adopt a sensible dietary regimen. The recognition part is simple enough when you realize that you are outgrowing your clothes. The treatment part may not be so easy, but weight and fat gain are certainly manageable. Treatment extremes include self induced bulimic activity and gastric bypass surgery. The bottom line is, sans rare systemic causes, weight gain for the vast majority of over eaters is directly proportionate to caloric intake (the more you eat, the bigger you get) and personal choice. Proper dietary discipline may be a tough choice, but it is a personal choice nonetheless.    
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