I’m 370 lbs and today I had a doctor tell me that people who are skinnier than me are all like that because they work out and eat right. Can I get a roll call for the people who are less than 370 lbs and eat like shit or don’t work out? Because I’m pretty sure you exist.

Also, one time I had a doctor ask me “are you sure?” 4 times after I said I didn’t have any breathing problems. Like nah I’m just big.

  • 7bicycles [he/him]
    ·
    6 days ago

    I think a lot of this is death by a thousand cuts type stuff that's kind of impossible to accurately scope out unless you were scientifically observed 24/7 for a while without your knowledge so as to not change your behaviour, which is obviously horribly unethical.

    I don't care for the exact numbers too much for this example, those vary depending on source and study but just as an example if you take identical people with identical lifetstyles and diets you can easily get quite wild numbers of different caloric rates.

    • Fidgeting burns 350 calories a day
    • one person likes a beer (0,33L / 130 Calories) after dinner, one person likes a chocolate bar (250 Calories)
    • One Person smokes (200 Calories per day) with the associated going outdoors (let's just say further 100 calories) vs. just not doing that

    These two otherwise exactly identical people doing the exact same thing every day eating the exact same things, portion sizes etc. except for those 3 things mentioned above would lead you to a 770 Calories difference in calories needed a day. And there's so many variables here. A splash of oil is easily 200 calories apart depending on who's splashing, there's another 100 calories a day if we assume both of our theoretical people are avid home cooks who cook for themselves every second day and never throw anything out.

      • 7bicycles [he/him]
        ·
        6 days ago

        As noted in this context I don't really care for the actual number. Knock it down to 50 for the fidgeting and you'd still end up at a ~500 calorie difference between two otherwise 100% identical and synchronized people, or a pound of fat up / down a week.

        My point here is that any assessment about how many calories a person eats or burns, unless done with actual 24/7 tracking, is basically just guessing because the numbers of variables is so high and even a few of those can add up to quite a lot of difference over time.

      • 7bicycles [he/him]
        ·
        6 days ago

        Should've put a minus there to make it clearer, smoking cigarettes burns about 200kcal a day because it raises your heartrate. The other 100 is from the assumption you don't smoke inside and so include more walks outside for it over the course of a day.