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From Teresa, child's age 16

My 16 year old step son is extremely over weight. I would say at least 75lbs. I brought up his food choices today and asked him how he felt about how he looked. He says he does not care. I really think that that is a farce. He has no self-confidence, walks slouched over looking at the ground. Does not face people when he is in front of them.He lives with me and his father. Every time he goes to his mother's for a week or more he put on more weight. He has gone through two pant sizes this school year.At home we have healthy food and buy diet drinks but he has a problem with his portion sizes and on his own he chooses sugared colas. At his mom's he basicly eats all he wants and sits in front of the tv all the time.His mother also has a weight problem. They make fat jokes about their problem. I commented that I did not think it was all that funny to do that and he replied that they do so because they "accept their bodies"When I talked to him today I tried to talk to him about health problems, he won't listen because right now he doesn't have diabeties, or heart disease or the like.What do we do????