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to you how because they're oh we see patients who have like five to ten kilograms overweight and patients who weigh up to three hundred kilograms which wouldn't fit in a chair like this even in this because it's a very very big jet you know exactly so we even need some time special transportation modes for those patients and it requires three to four. fire over a course to help and. report people to come to us for a diagnosis and treatment and what kind of concept do you offer we try to offer our patients and at geology based treatment of obesity this of course requires in the first place a clear diagnosis which includes homeowner courses of obesity metabolism causes of obesity but also psychological courses we are surprised that in many of our patients psychological courses including also stigmatisation of the society is one