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I saw a video once of a guy showing how he can fake one of those in an hour basically by doing the pictures in reverse. Take "after" picture first, then drink and eat tons of stuff that makes you bloat up real fast like tons of soda and salty potato chips, then take the "before" picture.
I've also heard of them actually paying people who are really fit to get fat (and again doing pictures in reverse order)
I don't ever really trust those before and after pictures in advertising.
Thanks to Bokkechick for my siggy.