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The permanent “pregnancy” of many guys is not just fat. Sedentary/low activity lifestyle lend to poor muscle tone and the kishkes hanging out. That puts undo stress on the spine, and just having your midsection re-arranged from the original design cannot be too good. I lead an very physical life for parnassah, and I see that if you survive it, you don’t need to go to the gym, or have the doctor decree a walking regimen. It is sad to see that this is a common malady since “work” for most of us has ceased to be actual labor. For young guys that have any vanity to them, here in EY, we are starving for avodah ivrit in the building trades, and you can have a six pack ab along with the contribution to yishuv haaretz, and not sweat the occasional felafel or shwarma fat fest.