What factors could have contributed to their now situation


Problem

Tammy and Amy are sisters who are in their mid to late 30's and are both over-weight. They struggle with not only their health but with their day to day life and relationships with others. They both attempt to lose weight together but Tammy is having more trouble than Amy losing the weight. As adults, we know that our brain and our senses diminish. What factors could have contributed to their 'now' situation? Is it only from their decisions as adults or could it stem from their childhood as well?

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