Or do all the geniuses think people will just wake up skinny the next day?  WTF is this. Some passive aggressive bullshit? You start giving them high fives for getting their BMI from 50 down to 45 and they stop right there. Do you know how many fats like this, and a lot smaller, I've had tell me they're trying to get to their "ideal weight" of 220 or some stupid fuckery? A lot of times people like this aren't even trying to get healthy - they're just trying to fit in a car, or stop breaking a couch. No props until they hit BMI=24.9. And even then, they don't get rewarded for doing what humans are supposed to do.