Most Obese States

Al_4_State

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Mayo has spurred competition within the state for decades and has resulted in some top notch medical facilities and hospital systems in the Twin Cities metro. Hell, got a referral to an orthopedic for my shoulder rotator cuff issue and next thing I am sitting down getting the diagnosis from one of the Vikings team doctors and I am just some random old guy. Next stop, the physical therapist that works with everyone from MLB pitchers to old worn out shoulder guys like me. Some of that was just luck (I felt I had drawn the A-Team for sure) but there's a lot of medical talent here.
Twin Cities Orthopedic has a great reputation.

Mayo has also taken over a bunch of small hospitals and clinics in rural parts of the state. Extends into Iowa and Wisconsin as well.
 

Al_4_State

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I would think this is of small impact. If you are in that system, you'll get good care, but you're not helping these stats. We have a massive Mayo down here too but I fail to see how it really makes anyone healthier. Most folks don't listen to their doctors that well and TBH most doctors don't push food as the cure nearly hard enough. Prescribing pills is more lucrative and most Americans like the simple path.
Mayo runs a bunch of the small town clinics in rural Minnesota (some in IA and WI too), so that pulls the overall health care system up.
 

carvers4math

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I was at Kwik Trip (Star in Iowa) recently and a bag of carrots cost a little less than a bag of chips.

And water is less than soda.

But yes the access to general large quantities of healthy food even in mid-sized rural towns is pretty subpar. Even Fareway is pretty limited even though it has a produce section.

I'm enjoying seeing stuff like community gardens etc. popping up though. That's good for all sorts of reasons.
Our Fareway has a great selection in grains, beans, and lentils. The yogurt selection is somewhat limited but I buy kefir there.
 
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ClonerJams

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Two words, sriracha mayo.
umpire-vomits.gif
 
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exCyDing

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We designed our lives around gasoline. We could have put railways along every major highway and built our cities more pubic transit friendly. We like oil though.
This. How we design our cities and neighborhoods is a huge factor in how active and fit people are.

When I lived in Chicago, I commuted on the L. My daily route included about 1.5 miles of walking round trip. Additionally, nearly everywhere I'd need to go in a week (groceries, Target, hardware store, pharmacy) was an easy walk - sometimes easier than driving unless I was getting something big or heavy. I averaged about 15k steps a day without purposefully walking just to get steps.

I moved to San Diego, where everything was a drive and not particularly pedestrian friendly. My average daily steps dropped to ~5k a day and I gained 15lbs in the first year.

I moved to a dense neighborhood in LA where I can walk to do most of my errands. Back up to about 10k steps a day and down 10lbs in a year. If I had a commute (WFH forever!!!), I'd probably be back up to 15k steps a day.

Between these three cities, I really didn't change my diet or other exercise habits, just how I ran my errands and got around.
 

tim_redd

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There's also probably no way to actually burn 1200 calories that fast, so it's more like you workout for 1.5 hours and burn 400 calories, and then eat a single piece of pizza for the same amount of calories. I think the average person doesn't realize how quickly you can consume 2000 calories if you're not paying attention.
14 double stuff oreos is just about 2000 calories
 

tyler24

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anything you used to get on your journey?
I cheated with artificial sugars to start it and fiber. I'm now probably 40 pounds from my original weight loss, but I was also super fit when I cut the weight originally. Whole foods are your best friend.

Trust your body and don't be in a hurry. So often we're in a hurry to get the results. Be in a hurry to do it correctly. If you have a craving, find a healthier alternative. We also don't need the portions we consume, I read something one time that really resonated with me. It was that we really only taste the first two or three bites, after that, it's unconscious behavior.
 

JohnPrineforCy

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I can understand the problem with getting healthier food in rural america, but I don't buy the notion of not being able to get outside and find a place to walk, run, or bike ride. My favorite running is when I get to go back to my in-laws and explore the country roads. Obviously have to be on a higher alert for trucks, but mornings out there doesnt get much more beautiful.
 
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BWRhasnoAC

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That's still a lot of fat. A lot of cholesterol.
Been reading about the cholesterol thing. They aren't so sure about that anymore, especially if you eat good fats like fish oil, avocado, olive oil etc. If you eat a keto diet, fat is necessary to get you through the day without carbs.
 
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