<prompt> Fingqa isihloko: Owesifazane osebenzayo oye walahlekelwa amafutha amane ukuze afeze isifiso sakhe sokuba nabantwana utshelwe ukuthi usakhuluphele kakhulu ukuba angawuthatha. UDonna Adams, oneminyaka engu-42, onesifo sama-hormone esenza kube nzima ukunciphisa umzimba kunokujwayelekile, washiywa edidekile lapho umkhandlu wasendaweni yakubo uthi i-BMI yakhe engu-38 idlula izindinganiso zabo zokutholwa. Isisebenzi sikahulumeni esivela e-East Grinstead siya emakilasini okudansa ngesisu, siyahamba amabanga amade ezweni futhi sibhukuda amabanga angu-30 masonto onke kodwa izikhulu azisiboni sincane ngokwanele ukuba sibe umama. UDonna Adams ulahlekelwe amatshe amane, wafinyelela endaweni yesi-15 futhi i-BMI yakhe ingama-38 emzamweni wakhe wokuba umama. UDonna uhamba ayodansa isisu kanye ngesonto, abhukude futhi ahambe amabanga amade futhi uthi usesimweni esihle futhi uphilile. UDonna uthi uMkhandlu Wesifunda saseWest Sussex uthe udlula iziqondiso zawo ezifuna ukuba umnakekeli obambele abe ne-BMI engu-35. Lo mkhandlu uthi unomthwalo wemfanelo wokubona nokulungisa ukukhuluphala kwabanakekeli abangena esikhundleni nokuthi nge-body mass index engu-38, uhluleka ukuhlangabezana neziqondiso zawo. UDonna wathi: Ngiyaqonda ukuthi kudingeka bacabange ngokuphila kwabantu nenhlalakahle yezingane, kodwa angikholwa ukuthi kudingeka ube usayizi othile ukuze ube umzali omuhle. Ngifuna nje ukuba abantu bazi ukuthi kwenzekani ngoba nakanjani ngingumuntu okulungele futhi onempilo ngokwanele ukuba umama. Kunabantwana abaningi abanakekelwayo abadinga ikhaya elinothando nabazali abanothando, futhi ngibazwela. Nokho, naphezu kwezinga lomsebenzi wakhe nomzimba omncane, i-BMI kaDonna isabhekwa njengengaphakathi kwebanga lokukhuluphala ngokweqile eshadini lezibalo, futhi inamanani amabili nje kuphela ngaphansi kwebanga lokukhuluphala ngokweqile. UDonna, oboniswe nomyeni wakhe uJeremy, wakwazi ukunciphisa i-BMI yakhe isuka ku-48 iya ku-38 ngenxa yokudla ukudla okunzima. UDonna nomyeni wakhe, uJeremy, oneminyaka engu-41, baye bakuthola kunzima ukukhulelwa ngenxa yokuthi unesifo esibizwa ngokuthi i-polycystic ovarian syndrome. Wathi: Umzimba wami ukhiqiza i-testosterone ne-insulin eningi kakhulu - kubangela izinkinga zokuzala futhi kukwenze ube mkhulu futhi ube nomzimba onamandla. Kunzima kakhulu ukunciphisa umzimba. I - -  <response>: UDonna Adams, oneminyaka engu-42, ukhuluphele ngamatshe amane, ukhuluphele ngamatshe ayishumi nanhlanu, ukuze aqale umndeni. Umkhandlu wendawo wathi i-BMI yakhe engu-38 yayiphakeme kakhulu ukuba angawusebenzisa. Isisebenzi sikahulumeni, esinenkinga yama-hormone, sithi isebenza kahle futhi iphilile. Uzibophezele ekulahlekelweni enye ingane yesibili bese eyithatha esebenzisa i-ejensi yokutholwa. 