My wife is a PA. She talks about this one all the time. There are basically only three conversations that happen at physicals when exercise comes up: 1) Person who obviously exercises regularly: Provider: "And I'm guessing you get a solid amount of regular exercise?" Patient: "I run / bike / swim / lift / whatever blah blah blah." Provider thought: Yeah, I know. I'm just asking cause I have to. 2) Average person Provider: "Do you get regular exercise?" Patient: "Nah, not really." Provider thought: Yeah, I know. I'm just asking cause I have to. 3) Fats AKA liars Provider: "Do you get regular exercise?" Fat: "Oh of course! I mean I don't work out per se, but I lead a very active lifestyle. I'm always walking places and I'm up and about on my feet a lot. I'm really very active. I don't know why I'm slightly overweight, just bad genes I guess, tee hee." Provider thought: Shut the fuck up you fat fucking idiot. 'Walking places' and 'being on your feet' describes every person on the planet who isn't crippled or dead. That's not fucking exercise. I know damn well you're counting walking from the parking garage to the food court as part of your 'active lifestyle,' but I'm going to fucking smile at you and say something non-committal but mildly encouraging, cause fuck it, I got a mortgage. I got a kid in private school. I'd like to go on a cruise this year. And there's nothing I can say in the short time you're here that will convince you that all the non-fat people I see get way more exercise than you, but say, 'Nah I don't do anything,' cause they know that the basics of going through daily life in modern America isn't exercise. And you fucking know that too, but if you want to lie to me instead of actually trying to solve this 'mystery' of why you're fat as fuck, there's nothing I can do that won't just get me fired while you stay fat as fuck. I can't wait for the part where I ask you about your diet and you describe your pounds of pasta and french fires as 'mostly plant based.' God I hate this part of the job.