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Alyse Gray's avatar

Compulsive leg shaking feels left out.

Your Nextdoor PCP's avatar

Loved this post! It’s one of the clearest explanations I’ve seen for the “my friend can eat anything” phenomenon without falling back on the lazy “fast metabolism” trope. From a physiology lens, your point about NEAT as the swing variable is exactly right: BMR and TEF don’t usually vary enough to explain the day-to-day gap we observe between two people with similar body size, but small, continuous movement differences absolutely can. And the Mayo overfeeding example is such a memorable anchor for how behavioral micro-movements can buffer fat gain. 

I also appreciated the nuance on “sitting disease” and the Hadza contrast; not “move more” in the abstract, but how you rest matters (chair sitting vs active resting postures), because muscle contraction is a metabolic signal (LPL, TG handling, etc.), not just calorie burn. 

My favorite practical takeaway: NEAT is the most malleable part of TDEE for most busy adults. So the winning strategy isn’t forcing more gym time (which people drop), it’s redesigning the day so movement becomes the default: walk calls, stairs, parking farther, “movement snacks”, and breaking up long sitting blocks.

High-signal, very actionable, and refreshingly non-moralizing!

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