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I've wanted to write something like this for a long time, I always hear this phrase "I'm not fat, I just have big bones."
For ordinary people this is definitely true but let me clarify on the medical part, it's also true. Now, there are physical differences between the bones of obese and thin people, differences that can be seen through the naked eye.
You can notice how the bones of the legs of obese people are deformed; you can also notice it in the shoulders, hips, knees and ankles, but these are the changes that we see externally, Let me speak as a doctor about the changes in the internal part of the bones of obese people.
The bones of the spine become deformed causing scoliosis, lordosis and kyphosis, which are deformities caused more frequently by excess weight. Of course, they can also have different origins but in this case I am only referring to the damage caused by excess weight.
The weight that overweight people have gradually injures the ligaments, tendons and other structures that accompany bone mobility. When these structures are damaged they do the same to the bones.
Thus, the bony epiphyses and metaphyses of long bones thicken while the diaphyses get thinner. This is the initial portion of the bones becoming deformed by thickening and the middle portion of the bones becoming thinner.
Having said all this, I can conclude that, seeing the external part of the obese person, we can notice how his external figure is modified. We can see the bones that are deformed, especially the long bones of the body.
And observing the bones inside the human body, we can observe how the upper and lower parts of the bones, that is, the epiphyses and bone metaphyses, are grossly thickened and the middle portion of the long bones, the diaphyses, are thinned as product of prolonged exposure of excess weight in them.
We can also see how the bones of the spine are deformed throughout their journey, trying to balance the excess weight.
This is why the phrase "I'm not fat, I just have bigger bones" is not entirely false, it's real but it only indicates that the person has focal bone lesions.