How difficult is it to make choices that will enable us to be healthy? Today an over 300 pound patient came to see me for weight loss advice. All meals are ordered out. This person does not cook at all. If a person does not cook are there still healthy choices? Is there still portion control? I was surprised at the mind set of a “diet” as opposed to making healthy lifestyle changes. I know that eating out restauranteurs add fat and salt to make the food more palatable, however, one can request no fat added and no salt added to foods. I would like some feedback from the audience out there.