re: What caused this generation of 49er females? (4's who think that they are 9's)

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Meh - if we're going to be honest, it is getting pretty close to 30% are obese, not merely fat. And, yes that's getting to be true of gals in their 20s.

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If we take into account the overweight range with a BMI of 25-29.9, it shoots up to nearly 75%:

Percent of adults aged 20 and over with overweight, including obesity: 73.6% (2017-2018) LINK

It’s wild.