Individuals can be categorized into four groups based on objective medical risk due to obesity and subjective desire for weight loss.

“let's let's refine it to a 2 by two we've got people as let's just say four individuals come to you and we're going to say that you're the objective all- knowing agent ... half of the people are objectively at Medical physical risk because of obesity and would be objectively medically helped by losing weight on this drug half of the people are not at objectively Medical increased risk and would not be predicted to have a medical a major medical benefit with in that each of those groups y half of them think they have a medical problem regardless of whether you objectively determined they do and think they would benefit and half of them aren't interested in that they're want to do it for Cosmetics income uh other opportunities Etc stigma reduction quality of life”