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Thirty five years ago when my wife was pregnant with our 2nd daughter, we went with another couple to a hardcore adult porn theater. Both women were over eight months pregnant. Ir was dark when we sat down so the the denizens of the theater did not notice anything out of the ordinary. However, when the lights came on at the end of "Behind the Green Door" (as I recall), the horror stricken looks of the maturbators and other pervs was priceless to see. Advanced pregnancy and porn just don't mix well.
I was an intense runner for many years. So was my wife. Both our knees and hips are just fine and we are both at the medicare age. In fact long distance runners have far fewer joint problems than the sedentary (and obese). Humans were meant to travel long distances on foot. I have often thought of starting a fat farm, where food would be available at feeding stations 5-10 miles apart. A healthy, but calorie controlled, meal would be available at each station, as would be showers and bunks. If you want food you would have to cover the miles. Weight loss and good health would be inevitable, even to the most egregious fatty.
Well, I may be a little judgemental, but I don't think I'm a Nazi. My "spawn" does not smoke and did not observe much more smoking in Europe than she does in Idaho. She just found that the people in Europe were much thinner than people in the US. Actually, I am beginning to think that it is not rampant self-indulgence that gets people obese. We have weird food in the US, that appears to be addictive, non-nutritional, and cheap. My wife, spawn, and I do not drink anything containing artifical sweeteners or corn syrup, or eat anything with hydrogenated oil in it. We do eat large quantities of animal fat (from animals that are not treated with hormones or antibiotics), butter and cheese. I bake a loaf of whole wheat bread every couple of days. We minimize carbs, but eat lots of veggies. I believe there is something in processed food that induces susceptible people to become obese. Not eating processed food greatly reduces any tendency to overeat, since real food is much less readily available. Any form of carbohydrate causes big insulin swings that cause one to alternate between raging hunger and storing the carbs as body fat. Read the diet recommendations on the Diabetes Association website. They are perfectly designed to exacerbate type 2 diabetes and make one into a chronic patient, who will take lots of expensive drugs, made by big contributors to the Diabetes Assn.
To those who claim to gain weight on 1800 calories a day while exercising. A 180 lb person burns 150 Calories a mile, while walking or running. I have studied thermodynamics. If you expend 1000 Calories in exercise you will not have those 1000 Calories to gain weight with. Stop lieing to yourselves.
Sorry, thermodynamics is thermodynamics. If you carry 100 kg 100 meters up against gravity you will have done about 100,000 newton meters of work, or 100,000 joules. This is about 24 nutritional calories. Assuming about 25% efficiency that would require one hundred nutritional calories. So to burn 500 calories by exercising you would have to walk or run a 220 lb body 500 meters straight up. That is about 1600 feet. On a 10% grade (pretty steep) you would cover 5000 meters horizontally, or 3.2 miles. That would take a person in moderately good shape a half hour. So by running up a 10% grade in a half hour at 10 minutes a mile you could burn 500 calories.
There is no magic way that a person would burn less than 500 calories. When I ran marathons I burnt on the order of 3000 calories running that 26 miles. When I was a firefighter in the mountains I frequently burnt 5000 calories a day. I also ate prodigous amounts of food. I would gain 5 lbs from breakfast alone (lots of fluid). Since I was frequently far from the food wagon I generally did not get lunch. So by nightfall I would need another 3000 calorie meal to maintain my weight. It is entirely possible to eat huge amounts of food and still stay thin. Ultramarathoners and triathletes do it all the time.
Bariatric surgery does not always work because the stomach regains its ability to digest normal amounts of food in six months. What the surgery does is allow the fat person a window to adjust their eating habits. If they go back to their self-indulgent ways the surgery would have "failed". We have a friend who had the surgery a year ago. It appears that she did not use the window to adjust her eating habits, and might be in trouble again. It is very sad becsuse she had hopes that romance might reenter her life if she got thin. If you burn what you eat you will maintain your weight. If you burn more than you eat you will get thinner. Stop eating anything that contains hydrogenated oil and/or corn sweetener. That eliminates almost all junk food.
I might add that giving up bad habits is not easy. I gave up smoking when I was 25, after 10 years of smoking. I deliberatly went to cocktail lounges and sat among smokers while slowly sipping one drink (I am lucky in that I dislike alcohol). I would sit there and tell myself how strong I was in resisting lighting up. Most fat people have fat friends. Go to restaurants with them and eat nothing, while telling yourself how much better you are than them. You will develop a very strong will. BTw, I had intense dreams abgout smoking for two years before I finally beat the addiction. But when I decided to stop smoking I threw away a brand new pack of Luckies. I have not had a cigarette in almost 50 years since then. Cold turkey is the only way to beat an addiction.
Good luck.