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This is an oddly complex topic. People who have obesity deserve to be happy, live their lives, and not receive unrequested health advice or critiques from strangers or friends. They are beautiful the way they are, and deserve to feel joy as much as everyone else.
But a toxic part of the BP & HAES community also claims dieting & weightloss as fatphobic. I would never give diet or fitness advice to someone who is living in a larger frame unless they specifically asked for it, but they need to accept concerns from their medical team. Not all of their ailments are caused by their obesity, but some either are or will be. They need to accept that they are worthy of happiness, and their weight doesn’t deprive them of that, but also go in accepting that statistically it isn’t the healthiest option. Much like smokers have to accept their life and habits will likely have a negative consequence on their overall long term health.