OK, I won’t say it….but I am surprised that your daily physical work has not helped you that much - IF by construction you mean you are digging trenches, lifting heavy pipe, etc all day.
My father was in construction all his life as a sheet metal worker on the jobsite. Mostly in NYC on high rise office buildings. He rose at 4:30AM, would come home exhausted every day, eat dinner and go right to sleep.
Yet, with all that he was no Mr America! Pot belly, no large pecs….but his hands and forearms were scary from cutting that sheet metal with shears I could not even lift!
If he were a foreman or drove a backhoe I’m sure he would have been downright fat (the man could eat and drink!) and in terrible shape. But many days he had to walk up and down 20 or 30 flights of concrete steps because the lift wasn’t operating.
I guess my real question is this: is your construction job involved with burning a lot of calories or giving you an aerobic challenge? I know that sounds absurd and maybe condescending (you’re in construction!!) but I don’t mean it to be.
Just saying that heavy physical exercise really DOES lessen the effects of ADT - even afterwards. So if you’re not really doing the physical work, you really need to exercise at some point during the day - even brisk walking - to raise your metabolism. It worked for me and many others on ADT and that is one way in which we are all NOT that different.