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Wellness, in this sense, is subjective, the perception of being healthy, rather than any investigatable "reality" of being healthy. The behaviors in the pursuit of wellness sometimes include proven methodologies, but may also include practices with no scientifically proven capacity to increase health.

The most solid aspects of wellness that fit firmly in the realm of medicine are the environmental health, nutrition, disease prevention, and public health matters that can be investigated and assist in measuring well-being.

Wellness, as a concept and a practice, is found in more affluent societies because it involves managing the body state after the more basic needs of food, shelter and basic medical care have already been met. Many of the practices applied in the pursuit of wellness, in fact, are aimed at controlling the side effects of affluence, such as obesity and inactivity - leading to lack of exercise.