A 40-year-old overweight, sedentary, and unhealthily eating patient has a lower life expectancy than a 40-year-old patient with healthy habits and parents who lived to 100.

“you can tell if you have a your 40-year-old patient and here or she is fat doesn't exercise eats mostly cheeseburgers you know that their life expectancy is probably not as good as the 40y old patient in your your next waiting room that uh has extremely healthful habits and whose parents live to be 100”