Two recent stories, thanks to Ginger and Sploid:
Hospitals changing to accommodate increase in morbidly obese patients
Vegas’s new Hefty Ambulance
They kinda speak for themselves, but I also realized this morning that I am down 17 pounds from my peak weight, about 5 or 6 years ago. Put that in yer middle-aged spread and smoke it.
Sandy Smith 
what is your secret? my own middle age belly is out of control.
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Eat the occasional salad, more whole grains, less refined sugar (though decidedly not zero), reduce portion sizes occasionally, and get my ass off the couch occasionally for a little exercise–not a lot, just a bit.
No secret, just substitution, moderation, and activity.
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Oh and some of the activity involves weights or pushups to keep muscle mass up, and hence metabolism. I’m hardly cut or muscular, but even a little bit helps.
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