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There are medical cases, without any doubt.
But in so many cases in Pentecost, it is a matter of food being the center of entertainment because everything else is a sin. Get together with a bunch of church people and look at the food - massive amounts, most of it high calorie stuff. People go out to eat after church - usually late. Most don't get much exercise. Many times, it is pretty simple -- more calories going in than being used.
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