Thanks for anyone who replies. Hopefully this helps others too.

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[–] 2 points 3 weeks ago (2 children)

Don't lose weight to get healthy, get healthy to lose weight.

95% of weight loss is diet not exercise. Your friend should consider a low carbohydrate diet, perhaps even straight keto. The weight will come down, including the ectopic airway fat that's impacting his breathing. His body will go through a period of recomposition, lung capacity will go up.

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