"But I'm on dialysis, I'm sick and tired too much to eat right and exercise!!!"  I hate these people. How does being tired force them to eat too much? Be as sick and tired as you like, but you will lose weight if you eat less. Although I don't believe them for a second that fast food and junk food is cheaper and easier than basic cooking, they could still lose weight and improve their health by eating less of whatever crap they're eating now.