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[quote=Anonymous]Sleep apnea can have a big impact on metabolism. A friend's DH tried to lose using meal service and cross fit with no luck. Once he got a C-PAP, 50 lbs came off. High cortisol from gasping for air > high insulin, belly weight gain which is the most unhealthy and fatigue which makes change seem overwhelming.

Does he have any friends who he might want to train for a 5k with? Is his college sport something he could do at rec league level? Sometimes people who were super active when young never dialed in nutrition and portion size.

One guy I know was concerned enough by the data on an Oura ring that he saw his doctor and got a CPAP. Another got a CGM, again, data moved the needle or ignoring health. If he is at all a gadget/toy person, things to consider. Even a Fitbit to document just how sedentary he is. Any chance you could get an active puppy he could walk? A relative's doctor recommended it during lockdown and he reversed his prediabetes that way, just from activity.

It's super frustrating, OP, in a spouse, elderly parent, etc. Your focus on your own health is admirable. Any kids? Are they active? Could DH help them re: a sport and become a bit more fit in the process? 
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