How does someone get fat from having hormonal issues? Where does the fat comes from?

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As of my current understanding, you need calories to get fat, how can some hormonal issues lead to weight gain? Where does all the energy comes from?

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You sit down at lunch and there is a skinny healthy person and a larger person with hormonal issues.

They both currently weigh the same.

They both eat the same thing day in day out.

After a year the skinny person will be the same weight and the hormonal person will have gained a ton.

Why? Hormones regulate how your body breaks matter down to use as energy.

A hormonal person needs to reduce food intake to maintain a steady weight but because their body isn’t utilizing the food they are eating their body has massive food cravings.

This is an effort of starvation rather than healthy weight loss.

Most people end up eating more to satiate their never ending hunger.

Now you have a person who is eating more food to get energy but the body is just collecting fat because it can’t process it.

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