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The central failure of the medical system when it comes to obesity is that it treats every patient exactly the same: In a study that recorded interactions with doctors, only 13 percent of patients got any specific plan for diet or exercise and only 5 percent got help arranging a follow-up visit. Routledge Falmer;9— If Sonya ever forgets that she is fat, the world will remind her. After a few intrusive comments over the years— should you be eating that? He is a staunch and fairly right-ish Conservative, if I remember correctly. And this does terrible things to their bodies.

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Emily, the counselor in Eastern Washington, says she made a choice about three years ago to assert herself.

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Impact of negative cognitions about body image on inflammatory status in relation to health. For more than a decade now, researchers have found that the quality of our food affects disease risk independently of its effect on weight. It feels subversive to show my fat body doing regular stuff the world believes I don't or can't do. More than 40 percent of Americans classified as obese now say they experience stigma on a daily basis, a rate far higher than any other minority group. There are plenty of supportive and celebratory comments too but why do many diverse audiences — from newspaper op-eds to online fitness coaches to social media users — react to this cover with immediate disapproval?

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