In my heart I feel that there are yet higher levels of fuckup still to be scaled.

Basically, highest level of fsck imaginable SO FAR.

If you spend most of your teenage and adult years over the weight of 220 pounds you can move your timetable ahead 10 - 15 years. Permanent medication at 30 or 40, debilitating pain especially in the knees at 45, heart problems anytime from 40-60, welcoming death at 80,