I wonder if he realizes that literally all of that would be alleviated if he just lost weight. He would be better able to keep his commitments if his body was less massive and therefore less in his way. He wouldn't sweat doing literally next to nothing if he wasn't a gigantic mass of flesh. He wouldn't be getting diabetes if he didn't stuff himself constantly.  Also I hate pseudo-academics. They try and dress up their inane bullshit with lots of words that boil down to nothing.