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When Fabio Trabocchi launched his eponymous Italian restaurant empire in Washington, D.C., in 2011, he powered through with 20 double espressos a day and late-night, pasta-centric meals. Now 43 years old, the chef at one point weighed 260 pounds, after gaining 50 between 2000 and 2011.

“I realized I’d reached a seriously unhealthy weight, but there just didn’t seem to be time for regular workouts,” he says. He and his wife and…