https://www.hindustantimes.com/fitness/here-s-how-the-world-s-fattest-man-lost-250kg-and-now-dreams-of-walking-again/story-lSuUOUJsLaIecA9KmLNYkM.html
Sugar. And the usual gland problem. They’ll need a crane to get him over trumps wall. Or roll him north.