You seem to post a lot of male photos. You are either homo or a female.
Copy and paste in another browser window if it doesnt workhttps://i.imgur.com/9DIp1yF.jpg
That disease would actually make it easier to stay lean.He does not have the ability to move around so easily to cook meals or go to the grocery store on a whim and as a result would easily remain in a caloric deficit. Plus he does burn a lot of calories just at "rest" because he would always be shaking around.This is as dumb as showing a bodybuilder without arms or legs or missing a limb. It just makes it that much easier. Less you have to train.