How would you respond when a patient asks, "do you think i am too fat? "

I would just tell them that whatever their weight or body type, some things cannot be controlled. Whether how delicious food tastes or maybe they have a thyroid problem. If they feel that they can be healthier, then by all means, go be healthier.

Having a little extra fat on the human body is perfectly normal and beneficial it's not harming it in any way, although height and gender do have inputs with that. 

The answer is corticosteroids

Exactly what he said he smart