Again, I could be getting the wrong end of your stick, but my understanding of the "evolutionary logic" is that exercise tells the body where it should invest its calories. In the evolutionary environment we (almost) never had excess calories without a requirement for exercise to gather them, so we did not evolve to spend calories maintaining our cardiovascular system in the absence of demand on it. Since we do this lots these days, it can be in our interest to "fool" our body into thinking we do more exercise than we really do, so it spends more of the calories available in maintaining our heart etc. rather than storing them for a rainy day as fat.
This is probably very similar to statins, and a similar argument could be made for steroids in that we know we can depress the immune system and reduce our susceptibility to auto-immune damage with increasing our susceptibility to infectious disease.
So I would say this is the "advanced" way of managing our bodies, rather than the primitive way of actually doing what the body is used to responding to.
Yes, I didn't refer to drugs as "primitive", indeed they are the advanced way. But (imo) an advanced reaction to a primitive system (how the human body reacts and needs triggers-through-action instead of through-thought). One wonders why a thinking-based trigger isn't more prominent - then again, from prehistory we know the split to animistic thought, so maybe that was impossible from the start (just a theory

From a distance, it can seem a bit counterintuitive that drugs (which, afaik, commonly target receptors or otherwise fool the body to do things against its tendency) are useful when thinking isn't - after all, the person whose body this is, is directly linked to it. Apparently the link isn't very direct, past some level, which is also manifested in how easily people can develop hypochondria if attempting to affect their actual somatic health through thoughts.
Probably the system of consciousness has to be quite clearly cut off from actual somatic calculations (blood circulation, digestion etc).
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