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The subjective nature of "wellness" can be illustrated by the hypothetical example of an individual who avoids food additives and is selective in choosing foods to prolong health, but thinks nothing of getting in a car and driving hundreds of miles. Statistically, the known risk of mortality or morbidity from automobile usage is far greater than the risk of mortality or morbidity from food additives, but avoiding certain foods and food additives feels "healthy," whereas avoiding automobile use feels merely inconvenient.

Even when the techniques used are not scientifically proven, the pursuit of wellness can enhance health by a placebo effect. Someone who feels "well" may lower stress and enhance their sense of well-being, achieving an enhanced psychological state with proven beneficial effects on various body systems, including blood pressure, gastrointestinal system functioning, and immune response. The field of psychoneuroimmunology explores these linkages in a scientific manner, and is also a part of medicine proper. However it is new, and still exploring the biology, and has little or no clear advice to offer other than to avoid unnecessary stress or that which is out of one's control or capacity.

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.