They were as careful as possible!
(media.greatawakening.win)
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"Healthy" meats come from cows fed Skittles, milk is made from cows pumped full of hormones and antiobiotics, and fish are contaminated with mercury. We can't always identify GMO products.
In the 1970s, most Americans were slim to normal weight without much effort despite eating sugar, processed carbs, fat, fast food, drinking soda, going out to eat, having modern labor-saving devices, driving instead of walking, watching TV or reading instead of exercising in their spare time - all the things blamed for obesity today.
By the late 1980s, millions of these formerly slim people had blown up like balloons and couldn't lose the weight, sometimes in spite of Herculean efforts. Some people are still slim without much effort, but milions have suffered and struggled and tried dozens of diets and "lifestyle changes" and can't get there in spite of years spent trying all the things that work for slim people.
Over 70% of Americans have a weight problem when this wasn't the case in living memory. The problem is systemic, the food supply is a mess, and it's probably done intentionally by those who want us sick, suffering, and dead.