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I think fat people in Western cultures are the result of laziness and cultural issues. Calorie intake is far greater than calories burned = gaining weight. The wife and I split meals when we go out to eat. They serve you way to much just about anywhere. We’re both 70 and she weighs the same as in high school ~112lbs at 5’3” and I’m 6’1” but got up to 235 right out of high school.. bad habits. Dropped 35lbs when I joined the Navy. I hover around 200 now about 10lbs heavier than high school. We exercise, watch what we eat and not fans of deserts and never eat fast food crap and take no daily prescription drugs.

Problem is, people want an immediate fix and think drugs are the answer or the stomach staple crap. Dump the prescription medications that aren’t necessary which is probably 99% of what people take, get off their ass, exercise and eat less is the answer.

Prime example of people not fat is Vietnam where the obesity rate is about 2.1% of the population. Why:

The relatively low average body weight and obesity rates in Vietnam can be attributed to several factors:

Diet: Traditional Vietnamese cuisine is often low in calories and high in nutrients. It typically includes a variety of vegetables, lean proteins (such as fish and poultry), and rice, with less emphasis on processed foods and sugars.

Portion Sizes: Meals in Vietnam are often served in smaller portions, which can help control calorie intake.

Physical Activity: Many Vietnamese people engage in regular physical activity as part of their daily routines, whether through walking, cycling, or manual labor.

Cultural Attitudes: There may be cultural preferences for slimness, which can influence dietary choices and lifestyle habits.

Economic Factors: In some areas, limited access to high-calorie foods and economic constraints can lead to lower overall calorie consumption.

These factors combined contribute to the overall lower body weight and obesity rates in the Vietnamese population.