This answer is honestly a joke. They want you to protect the pt's "fee fees" by allowing him to blame his weight on his genetics while also bringing in environmental factors so you can possibly segway into changing living habits.

Most everything is a combination of genetics and environment. This is the only answer that acknowledges that even if the role is minor.

I def thought that they would want you to not be accusative.. like YEAH Its your fat ass dad's fault...