Koreans are normally the type to ask the undiplomatic, asshole-ish questions, and living in Korea as I do, I get these sorts of questions a lot, even from expats who've lived in Korea too long and now act just like Koreans, so before any of these sterling examples of human character have a chance to sound off about what assholes they are, let's get these questions about my health out of the way right at the beginning, shall we?
1. How did you let your health get to this point?
It's a complicated issue with a complicated answer. Bad dietary choices and bad dietary habits are a large part of the equation, but so are bad genetics. I have friends who are as fat if not fatter, and they report (or at least claim to have) no blood-pressure problems, no diabetes, no heart problems, and no incidences of stroke. They often have dietary/health habits are that way unhealthier than mine, including a rather robust consumption of alcohol (I don't drink or smoke). I know genetics is a factor because my father had a heart attack in his early 60s, and it followed the same pattern as mine, resulting in a stent, strict dietary recommendations, and all the rest. And my dad isn't even fat. So to the people who are quick to blame only my dietary habits: think again.
2. How can you still be fat after all you've been through?
The simplest answer is: because I don't starve myself. I'm also no longer in a position where I can exercise until I wear myself out, which is what I think a lot of the "body transformation" guys are doing on YouTube, à la "The Biggest Loser." Believe me, I'd love to just lose all of this extra weight—poof. But I was cursed with a slow metabolism, and I'm wired to get fat at the drop of a hat. When I had my stroke in 2021, a UK friend suggested the Newcastle Diet, which I did for the recommended ten weeks. It's an effective diet for quick weight loss: I dropped 60 pounds (about 27 kg) in three months, and my HbA1c went from close to 10 (yikes) to 5.7 (practically non-diabetic). But unless you've got a will of absolute iron, the diet is unsustainable beyond ten weeks. It's basically 800 calories a day, with a diet shake in the mornings and evenings, and a single meal (salad or something low-carb) of about 600 calories for lunch. You end up spending your days thinking only about food. It's an effective diet, but miserable, and as with all such crash diets, you'll gain back a lot of what you lost. I never gained back everything, but I went from a huge 128 kg (282 lb.) to about 101 kg (223 lb.), and I'm currently at 113 kg (about 249 lb.), with daily fluctuations of a pound or so. My A1c was 7.3 at my last doctor visit a few months ago; it's around 6.8 right now.
I'm currently eating on the weekends and on Wednesdays; I fast on Mondays, Tuesdays, Thursdays, and Fridays. By "fast," though, I don't mean a true, strict fast: depending on the day, I might have diet soda, a cup of coffee with cream and a sweetener like BochaSweet, some broth (not bone broth, alas), or even a spoonful of unsweetened peanut butter (about 200 calories). Apparently, I'm so insulin-resistant that even these non-sugary foods are enough to spike my insulin. Insulin is good insofar as it's a blood-sugar-reducing hormone, but it's bad insofar as it's a fat-storing hormone: if you spike your insulin, you're making it hard to lose weight.
So I'm still fat because (1) I never stopped being fat, even when I got thinner after the Newcastle Diet, and (2) I'm cursed with a body that, short of actual starvation, likes to hold on to fat. I'm also now trapped by the fact that I can no longer exert myself by going to 80% of my maximum heart rate for any length of time: doing that would lead me to have another heart attack. So unless any of my readers has any better ideas, the slow-but-steady, low-carb route seems to be the most viable for now.
3. How can you possibly be fat if you're walking across the country every year?
I consider this a rather stupid question. Think it through, genius: I take about a month off every year to walk across South Korea. That leaves me with eleven months during which I'm no longer exercising at that level because of my job and other factors.
And as I've discovered over time, your body gets used to certain activity levels. The first time I did a long walk across Korea, in 2017, I think I lost over 10 kg, and I was delighted. The next time I did such a walk, in 2019, I lost a lot less—maybe only 6 kg. Part of the problem, too, was that I'd gotten into the wrong mindset of "If I'm expending 4000-5000 calories a day on walking, I can eat whatever I want," which turned out not to be true. The timing of when you eat matters, and if you eat a lot at the end of your activity day, you're not doing yourself any favors. You're better off eating earlier in the day, like an old-school Buddhist monk who stops eating at noon.
If anyone has any other prying, asshole-ish questions, please feel free to leave them in the comments.