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A child living in an inner city setting reports that there are no playgrounds or sidewalks in their area, so their grandmother does not allow them to go outside after school. The grandmother cooks traditional meals every evening. The child describes how they love their grandmother's cooking, and they get to use homemade tortillas instead of forks to pick up their food to eat. The child reports that they become short of breath easily when they are playing with their friends, and they have “a lot” of headaches. On a scale of 0 to 10, with 10 being very happy, how would you rate your happiness with your weight? The child reports “2.”. What do you believe is one thing that you can change to help you lose some of your weight?

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