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A nice read. There’s also something to be said about how the fat is allocated - e.g. stored around organs or beneat the skin? A propensity for the former is reported to underlie most negative health effects of obesity.

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"This is defined as excessive because at or above that ratio, people tend to get negative health issues from all their fat,"

correlation is not causation. Just as likely, indeed more likely, the underlying problem is causing both the obesity and the health issues.

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