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Just wanted to give some input as someone who dealt with lifelong obesity. As a fat person, some people just don't like to face the music or give themselves an honest look in the mirror. They don't want to call a spade a spade. Changing around words to describe things in more complex and softer language doesn't change the situation any, it just helps you psychologically cope.

The same with playing the blame game on outside factors like genetics and disability. Blaming everything you can but yourself and your own choices and failures and unaddressed mental insecurities. Thats not a fat person thing though, thats a general human being thing I tend to see in most groups of people one way or another. Its easier to convince yourself that you never had a choice, than it is to acknowledge the bad personal choices that lead to the consequences of your failures.

When you have fat rolls, and stretch marks litter your stomach, and you look more like a slug than a human being, and you need help wiping your own ass or a bigger toilet to support the weight, when you have to go shopping at specialty close stores (before amazon) just to find a size that fits, and you have no self control or desire to change your habits to stop the self destructive spiral as your stomach swells like a balloon, thats obesity. Regardless of arguments on BMI or CICO or genetics or whatever else, you've got a serious problem that needs addressing or it will destroy you slowly but surely.

"At least I'll die happy!" my type 2 diabetic father would always gleefully tell me as he shoved another tasty cake in his mouth before jabbing himself with an insulin pen. I don't think the junk food ever did make him happy though. He had mental health issues he never worked through in life. Instead, he relied on the temporary relief of junk food for pleasure, eventually having his addiction dominate and guide his existence.

As for me? I've gone through cycles of gaining and loosing 100 pounds. Right now im on a downward trend, lost 40 pounds this year. Hope to loose another 40 by this time next year. I gain the pounds during cycles of extreme depression, and loose them during cycles of great determination and self-agency. Our physical well-being is tied to our emotional and spiritual well-being. Self destructive cycles are much easier to enter when you feel nihilistic and out of control of your own life.

How do I loose weight? I don't eat. CICO, Simple as. I eat one meal a day, if that. Maybe snack on some dried preserved nuts and fruits once or twice.I drink water and lemon juice. I am a 6'1 man the calorie calculators tell me I should have around 2000 calories daily and cut down by 500 to loose a pound every once in awhile. Fuck that, I have maybe 500-1000 calories daily.

Im a little hungry a lot of the time, but I see the results of my conviction when I step on the scale expecting it to raise 5 lbs and seeing it drop 10 lbs. I look at myself in the mirror, examining my fading stretch marks and receding folds, I examine my skin tightening around the muscles and notice my face not quite as round as it once was. Thats the reward physical evidence of improvement. That my efforts aren't for nothing. It helps to remind myself of what im doing it for, and the price ive already had to pay for my insecurities and failures to control myself.

The physical act of loosing weight is hard and requires self-control over a very long time often multiple years. The mental act of introspection and reflecting on what lead to your obesity often requires analyzing the roots of your negative aspects while confronting those past traumas. That requires a mental strength and intelligence many people lack. At the end of the day, its easier and feels nicer to twist words and point fingers than fix your own problems.

Not saying that the person in the post is correct in conflating those words, I don't think that's accurate at all.

However, it is disheartening to see so many ill-informed comments about fatness here... It's way, way more complicated than just "calories in/calories out". Even the extent to which it's unhealthy is more complicated; obesity is linked to higher risk of heart disease, but also linked to higher probability of surviving strokes/etc. A lot of the problem stems from the fact that BMI is a nearly useless metric.

It's a clinical term, and being obese is something that 90%+ of the time, you have a choice in.

Nobody picks their race. You cannot change your race.

What I'm saying is, no, those terms are not remotely the same.

Obese people acting like they can't control it is precisely why they're obese. It's vile to discriminate against someone for their height, race, sexual orientation, and other factors because they have no control or choice over those things. But if someone makes a bad choice that negatively affects their own health and others around them, it's acceptable to tell that person it's unsafe. Shaming them is ineffective, but just pretending being obese is normal and healthy isn't ok either. These folks need help.

Don't even start with me on thyroid disorders, those are a small fraction of people who are obese and even they do not defy basic laws of thermodynamics. Eat less than you burn, it's basic math. You may not be able to control the disorder but you are in control of how you respond to it.