32 pounds in a year. Damn.  She was told she was overweight, and instead of getting to a healthy weight, jumps straight into obesity.  She also said it was a student health center, so she is likely in college, so in her early 20's. I bet unrelated reasons were due to using food to help handle the workload, standard emotional eating. But gaining weight like this at such a young age is a disgrace. The absolute grossest part was that she is getting her birth control refilled. So she's been getting regular sex. Just no.