If you look very carefully at the opening police scene, supposed to be in Hamburg, Germany, you can catch a glance of one of the police vans in front of the house. There one can see that this vehicle has right-hand-steering.
Near the end of the film when Philip and Michael are getting on and off Deidre's bed which is attached to a scale the needle never moves from Deidre's 602lb weight.
title card:
Although the events depicted in this film are fictional, they are based on actual behaviours that are happening between consenting adults... right now.
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Michael Carter: [first lines - arrives with fast food]
Deidre. Hello princess. Deidre. You know what day it is today.
Richard: If these women are as fat as you say they are, they're gonna die of a stroke or a heart attack or downright fucking ugliness anyway. Now go home!