This is kind of missing the point. People are in groups that do all kinds of things normatively that add up to obesity, like dualistic thinking leading to depression while be embedded in a culture of dissociation. Yes, it's a choice, and as the cultures that gatekeep people from meeting their needs grows and spreads, making and sustaining that choice becomes harder. Maintaining cultures that harm is also a choice. No one is an island. We're all programming each other and ourselves in every moment while not taking care about how we do it.