I think realistically, you wouldn't be able to make a documentary about the effects of someone who eats McDonalds, say, once a day, in moderation, mainly because it would take too long & it'd be boring. This is a documentary, but you must remember, it's still a movie.
There's no doubt that eating 5000 calories a day will make you gain weight, regardless if that's 5000 calories from hamburgers and soda or carrots and broccoli - 5000 calories is 5000 calories, cut and dry. The more interesting effect, in my opinion, is the deterioration of his health, like his cholesterol levels, his liver and kidneys, his immune system, etc.
Eating 5000 calories of chicken breast, brown rice, and peas will make you gain weight. But it most certainly will not cause your liver to misfire, nor your cholesterol to sky-rocket, nor any other potentially long-terms effects over the course of merely 30 days. Eating McDonalds food three times daily did have serious health effects in less than a month.
Of course, we know it's not good to eat this much fast food. But I think in this case of (1) accelerated results for the sake of time, (2) beefed up for entertainment value, and ultimately (3) a study in excess. If you want to make a bold documentary, you need to take things to the extreme. If you want to have a slow-paced, moderate fast-food diet and monitor the effects over the course of years, then you have a study, not a documentary (not an interesting one, anyway).
If he would've been eating the same amount of a "healthier" food every day, he would probably just gain some weight and easily be able to burn it off once the 30 days was up with no other discernible side effects. I think the key is how quickly fast food can damage your health, full stop.
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