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I'm all for not being an asshole to people in general. BUT! TOLERANCE and KINDNESS =/= APPROVAL. Feeling good about being 400lbs does not reduce your risk of heart attack and stroke. Feeling good about being 400lbs does not make your nurse feel better when she rolls her ankle trying to move you. Environmental factors are a bitch. Life history factors are a bitch. Family units that encourage unhealthy habits are a bitch. Still not okay to be so fat that you hurt others.