Firstly, because fat is spread in and around other organs all through your body. You have fat in your muscles and around your internal organs. Not just under your skin. It’s not localised like a tumour. Secondly because if it could be removed and then the person continued to eat in the same way, they would just develop new fat. This would be particularly true with such sudden weight loss because your eating habits would be enough to sustain a much larger body. Losing the weight by eating better also helps train you to eventually keep the weight off by not continuing to overeat.
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