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Gary is an Orthopaedic Surgeon and Senior Lecturer of the University of Tasmania actively practising in Launceston, Tasmania, Australia. He has a long-standing keen interest in the preventative aspects of health outcomes and particularly before operating on patients. He was “a fat kid” and elsewhere has some other health related issues. He has particular concerns that as we get older the health systems will be under significant stress from financial and health burden aspects. Gary is confronted on a daily basis by patients who have weight related issues with their joint pathology and arthritis. Losing weight plays a significant role in the day to day management of his patients.