UPF doesn’t cause heart disease and strokes and early death simply because it causes obesity. The risks increase with the quantity of UPF consumed irrespective of weight gain. Additionally, people who eat UPF and don’t gain weight have increased risks of dementia and inflammatory bowel disease, but we don’t tend to blame patients for having these problems. So, obesity gets a special mention because it is unique among diet-related diseases – in fact unique among almost all diseases – because doctors blame patients for having it.