I intended it to be a joke. It's funny because it actually would work. Convincing your doctor you have narcolepsy just to lose weight is something you would see on Seinfeld; it's ridiculous to the point where nobody would actually do that, even though it would work.
The logic behind taking a stimulant drug to lose weight is actually very simple. When someone is very overweight, you naturally assume that the person is not physically active. They don't do any kind of aerobic exercise, so their body is never really put under the kind of stress that would cause it to fail. Under that assumption (which is a large assumption), prescription drugs and caffeine are fairly low risk. They elevate the person's metabolism, but only to the point where it's on the same level as people who do physical activities. The risk goes up and up as the person taking the stimulant is more active. As an example, doing cocaine while you watch TV probably will not cause a heart attack. Doing cocaine while having sex has a considerable risk of heart attack. Doing lots of cocaine then having sex is begging for a heart attack.So why the FUCK would you ever recommend "convince your doctor you have either narcolepsy or ADHD. He will give you a prescription for amphetamine."
That assumption of fat people being lazy is likely what caused so many fat people to die from weight loss drugs. The doctor assumes the person is fat because they sit on their ass all day, so they give the person some stimulant drug; some doctors will give you Ritalin to deal with extreme obesity. If the person really is a couch potato, then that's a fine solution. The problem is that not all fat people are lazy. Some people are fat simply because they eat too much. It's possible to be fat and physically active at the same time. If someone like that is given a weight loss drug, they might have a heart attack when they do any kind of strenuous activity such as their job or the sport they play on weekends.
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