i am suitably impressed with US dentistry - and even more convinced that the NHS is low budget health care. i know it's fantastic for when you're really in need, and worry about what would happen if dh didn't have health care through work, but i have suffered a lot of pain under the hands of nhs dentists, and would be several teeth better off, if i'd had a better dentist before now.
i never even knew that they could numb the skin BEFORE sticking a needle in to give an injection - i barely felt the 3 he gave me, normally i'm climbing out of my seat at that point.
personally, i've accepted that if i want to eat 3 times a day (or more) that i will be larger-than-average. i get v low blood pressure & black out too easily if i don't eat, and i enjoy eating, so i'm aiming for 'fat but fit' - with low cholesterol & healthy heart rate. i just could never eat as little as that, jabber. i do go to the gym & walk quite a lot, and what i eat is healthy, but i HAVE to eat or i get cold, miserable & ill. well, that's my excuse, anyway.
btw, i had a crap metabolism well before age 40. if you're ok now, you may well be ok for a while, i haven't noticed my weight getting any worse since hitting 40, and i gave up work around the same time.