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Food is definitely a big factor. Here in Brasil it's not like we're super healthy eating, we are much more into real food than America, it was the impression I was left with. Some things just seem arbitrarily made junkier for no reason. My colleague who lived in Italy through masters and doctors and recently came back comments on how in Brazil we eat way more meat than europeans, as an additional point of comparison.

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It's tough to eat enough meat to get really fat. Most people who try a carnivore diet end up losing weight. (I am not necessarily recommending that people follow a carnivore diet because it might have other negative effects.)

Here the diet is kind of meat and a lot of carbs at all meals(rice & beans in portuguese actually is a term meaning "the basics"), prefferably with a lot garlic and salt.

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