It’s just my opinion but I think the USCG physical for first time entry level positions works very similar to pre-employment physicals at keeping the riffraff & unhealthy away. If you type, “blood pressure” in the gcaptain forum search box you’d get all kinds of queries from potential newbies concerned about the CG requirements. But if a mariner got their first Z-card 25+ years ago & doubled their BMI over that time they’re probably not concerned about renewals. But that old fat mariner would likely be hesitant to switch employers. Also by searching old threads you see a lot of people do fail the uscg physical. @tugsailor You gave some good advise & spoke some hard truths to a guy on a this thread Am I too fat and old .