Photography http://www.elainecsmith.com/order-metoprolol/ metoprolol vs toprol xl  "It is worrying that young obese children already have early signs of atherosclerosis, which puts them at increased risk of developing heart disease in later life. On top of that they also show early signs of diabetes. It is crucial that children are active and eat healthily to avoid becoming obese and sentencing themselves to a life of ill-health," Dr Mangner commented.