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At my biggest I was 280 slinging drinks and fucking the cocktail waitresses doggy style while manually placing my gut on their asses before I started pounding. Didn't stop for a breather, either.
It would have caught up with you eventually. Good job turning it around. You're in better shape than you probably realize.
As far as case by case basis... sure you've got some fit people that die young of cancer and you've got some- probably very few- obese individuals that live a long life free of any significant medical problems. But those are exceptions, not the norm. And again even if a fat person evades serious health issues, you never know when that next bus is going to come careening around the corner and the difference between life and death could be 100 lbs of slow motion blubber vs muscle and lightening fast reflexes.