I think something that hasn't been addressed too much is just general "work" around the house and not being overall just plain lazy. Lot's and I mean lot's of able bodied people who don't shovel their walk/driveway, mow their lawn, plant flowers, clean their home and more. It's always "too busy" and some weird justification why paying $300 a month to someone for that work is justifiable.
There is manual labour fit and then there is I workout hard for an hour at the gym. Keeping moving, bending, standing, moving things around and just general "work" helps out a lot.
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