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I have friends who are reaching their late 30's and prediabetic.
They can hardly take flights of stairs up.
I know, because I was one of them. I gained 30 pounds.
(I lost the weight and I'm the fittest ever at 39. I help these men now)
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There's nothing they can't do in this world as far as living goes. I'd be perfectly happy walking up stairs with 7 bags if groceries when I'm 70.