I get exercise … yesterday I cycled 25k in the heat of boxing day Brisbane with 30 KGs of luggage, on a mountain bike. Just establishing that not everyone on this forum who doesn’t talk about exercise doesn’t exercise.
As for weight loss. Additional caloric expenditure from weight loss is an insignificant contribution to energy balance because if you do 2 hours of exercise for the remaining 22 hours of the day your metabolic rate drops.
http://www.metabolismjournal.com/article/0026-0495(88)90011-X/abstract
The reason why most pre and frank diabetics have related obesity has nothing to do with how many calories they eat, or the exercise they do.
It has nothing to do with the fuel they eat, or the additional use of kinetic energy they generate and it has everything to do with the energy they have available.
They are not burning fat for energy. It’s pooled in their circulation. This is why type 2 diabetics have triglycerides sometimes over 1000mg/dl.
Get insulin low and all of a sudden they can burn through their excess supply to a new homeostasis. This is why a ketogenic diet works for weight loss.
Nothing to do with satiating ketones or satiating protein or satiating fat … it’s all down to a sudden abundance of ATP because their insulin has gone low enough to enable them to get fatty acids into their mitochondria to be used for energy.
Having said that … most people on a ketogenic diet are here to save their toes, eyesight, kidneys, and stave off heart attacks and stroke. Next to that any cosmetic goal seems … frankly trivial.