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Correct. But you last more with little food in winter, if needed.
If you tune up fitness exp / get the books mod, it is manageable. Otherwise expect months, if not years, of exercising to get fit.
In my view the grind is a complete overkill, in 6 months you can get very fit IRL, especially if you are exercising all day.
You will get exhausted much earlier, with severe debuffs. Do a lot of squats every day to improve it.