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It's possible (but unlikely in modern society) to be obese but have good nutrition and activity levels high enough to mitigate the health effects such as high cholesterol). We're talking manual laborer to elite athlete activity levels here.
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I mean that might technically be the case, but I imagine at that point that one's weight would get in the way of said manual labor and Olympic athletics. The fact is that any doctor in the world would put "maintaining a healthy weight" alongside "quit smoking" at the top of their lifestyle recommendations. Anything else is just :amerikkka: AmeriKKKope.
Obesity is a social crisis created by capitalism. Negationism on that point is not fundamentally different from the people who say climate change is natural and not that bad.
That's true, but the weight limit is somewhere beyond that of champion weightlifters and sumo wrestlers, so around 150kg. In fact both examples are useful in that they have lower life expectancies, since their activity level drops dramatically after leaving competition.
There are works from as long ago as the 1980s showing factory workers who were technically obese but had no outstanding diseases of weight.
Bad nutrition and sedentary lifestyles are a social crisis of capitalism. Obese people are not. To argue otherwise is like claiming that we have a sea level rise issue and should build more sea walls.