The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
I think if you really look at the physiology of cancer I don't think it's obesity I think it's two things that come with obesity insulin resistance which is you know 2/3 to 3/4 of obese individuals are insulin resistant and inflammation and I think those two things with the inflammation and the immune dysfunction with the insulin resistance and the hyper basically tonic growth stimulus that's coming that's what's driving cancer
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my ultimate argument is that the obesity is not causal that it's actually the hyperinsulinemia that is simultaneously driving the obesity and the cancer cell proliferation
but the way it does it is is certainly more complicated and and it is as you're saying sort of it's systemic
it's probably not the excess fat per se or the osity that's driving cancer and rather it's the growth factors that are doing it so obesity comes with more inflammation comes with more growth factors such as insulin and igf