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Is obesity damage permanent?

I am 30yo white male in the Philadelphia area. Most of my childhood and all my adult life I have been overweight/obese. As an adult I have always ranged from 235-295lbs being in the high end of that for the last several years.

I don’t eat many vegetables, have had my share of gluttonous moments and meals, and overall just had very very bad eating habits and patterns.

However I have grown sick of it, I have done keto, low carb, and just been trying to eat better. I’ve lost about 10lbs so far and aim to eventually lost over 100lbs. Current 276, want to get to 175-180 within the next year or two, while also converting some fat to muscle if I can. Also taking vitamins, collagen, supplements and eating more fruit, less added sugars and junk, smaller portions in general and less fast food and processed stuff. Learning to eat at least a few veggies, and also incorporated nutritional yeast and acv into my diet. I also do intermittent fasting

I do not smoke, don’t do drugs, never had any surgeries or major conditions. A few years ago I went through ALLLL the heart tests and passed. Heart was very slightly enlarged but went down as I lost weight. Nothing else.

Anyway, by continuing to work and improve my dietary habits. Exercising more and losing weight. Once I reach this goal, and maybe even exceed it. And maintain it amd do my best to take care of myself. How much obesity damage, and effects on the hard & cv system, are permanent at this point, and how much can it improve or be reversed? What other steps can I take?
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You assume these types of questions have answers, but they don't.  Individuals don't get the same results, as out bodies differ in all kinds of ways and there is no normal.  However, that being said, most likely, no permanent damage has been done, and you might as well just assume that's the case.  Even if we just guess that maybe some was done, you've still postponed when that would manifest itself and the way life works is, we all die, and the trick is, die before this kind of thing happens because you've already lived out your life expectancy, whatever that turns out to be before the bad stuff happens.  In other words, none of us can eat in a way that makes us live forever, but we can live out lives in a way that gives us a better chance of living as long as we were programmed to without something intervening and cutting that short.  And while we're alive, we want to be as healthy as we can be for as long as possible so life is just more pleasant.  Now, I will tell you, I don't think there is such a thing as a keto diet, it's a fad diet, and the results won't necessarily continue or last.  If you want permanent benefits, when you get as much as you can from this fad diet, as it seems to be working for you right now, switch to a healthy diet that isn't a high protein diet.  You want a good old balanced diet based on whole grains, veggies, moderate consumption of animal food and that mostly from the ocean, and in that veggie class are good plant protein sources such as nuts and legumes.  Start an exercise program you can handle and slowly increase it to a level that will not harm you but help you burn off what you eat and keep your organs, digestion, and heart strong.  More than that science doesn't know.  Don't know why you're taking the collagen unless you have joint pain or connective tissue problems.  Don't completely deprive yourself of what you enjoy or you won't have any fun and won't stick to it.  You're doing great, just get better at it, and those veggies can be made to taste a lot better if you buy organically grown and learn how to prepare them in a way you like.  Don't know what supplements you're taking, but those are more for prophylactic purposes unless you are treating a problem with them and know how to do that.  It's much more the exercise and the food.  Keep on going, and give yourself a good clap on the back.  Bravo.  
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