increasing trends. These include polycystic ovarian syndrome, infertility as well as irregular menstrual symptoms. The risk of gastrointestinal diseases such as gastroesophageal reflux disease (GERD), fatty liver disease , cholelithiasis (gallstones), hernia , and colorectal cancer has also increased. The rise in repiratory disorders such as dyspnea , asthma, obstructive sleep apnea ,