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TOFI : thin outside fat inside : is very common! That is 100% diet based
https://hackertalks.com/post/5592913
Something like 92% of westerns don't have optimal metabolic health... Which is a polite way of saying only 8% are perfectly healthy, and the rest are on the sliding scale of insulin resistance
Thank you for the correction. I somehow completely skipped over OP's main text in their post and went right to inferring stuff from their other comments and thought maybe they were young and had some body image issues. 38, skinny, but a beer keg belly definitely sounds like diet.