It's exactly the same. People who feels>reals take nuance and think it deserves its own classification. Like no. Yes, gender between male and female is a sliding scale and not binary, but just because a woman is more masculine or a man is more feminine doesn't mean we have to invent a new gender for each point. Biology doesn't change just because you want it to. Same thing with this. There's one form of obesity and its from a CICO imbalance. Just because individual factors change the CI or CO portion doesn't mean thermodynamics changed in just your body. /preachingtothechoir