Another issue is how to reduce fat weight per se. One of the eye-opening parts of Gary Taubes' talk was the fact that somebody can be simultaneously emaciated and obese. Fat cells want to survive and sometimes will do so to the detriment of their host.

Another Taubes insight: when it comes to vertical growth, we posit one causal direction. We say that a teenager eats a lot because he's a growing boy; we do not say he's growing taller because he eats a lot. It's accepted that the body of a teenager has somehow decided for itself that it wants to get taller and appetite/metabolism will accommodate that need.

Perhaps horizontal growth isn't all that different.