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Cardiovascular Complications Diabetes Hypertension Elevated Cholesterol Elevated Triglycerides Heart Attack, Congestive Heart Failure Cardiac Arrhythmias, Sudden Death Stroke Renal Failure Pulmonary Complications Lung Restriction Shortness of Breath on Exertion Decreased Exercise Tolerance Asthma Heavy Snoring Obstructive Sleep Apnea Repeated pneumonia or pleurisy Other Medical Complications Heartburn (GERD) Joint and Back Pain Accelerated Degenerative Joint Disease Gallstone formation Hormonal Abnormalities Excess Estrogen Abnormal Menstrual Cycle Infertility Excess Testosterone Facial Hair Acne Stress Incontinence Varicose Veins Leg, ankle Swelling Rashes, Skin Infections, Excess Sweating Pseudotumor Cerebri Nephrotic Syndrome Hernias Increased risk of certain cancers Psychosocial Complications Lack of Self Esteem Social Rejection Loss of Job Potential Inappropriate Coping Strategies Depression Anxiety The good news is that most of these problems will improve as one loses weight through diet and exercise or through surgery such as gastric bypass. Even if irreversible damage has been done, such as joint breakdown, the damage will be easier to live with when one is lighter. **I'll be posting abstracts and publications that those fighting PCP or Insurance carries can print and take to them to read up on!! Who knows they might learn something.