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To Deborah E. Savage, a trip to the doctor was frequently an exercise in humiliation. For more than 15 years, Savage's doctors doled out the same advice: You need to stop gaining weight. When Savage replied that she had tried watching her diet and exercising, only to pack on more pounds, it was clear they simply didn't believe her. Her family was equally skeptical. "I would eat like my sister, and I would gain weight