It comes to informed choice. Medical problems caused by these can be hell upsetting... and how are you suppposed to be happy with that than?
Also, I believe that for example weight gain should not be viewed as merely "being heavier" but in context of your metabolism changing and that should be paid attention to. Imho (look, this is just opinion, I am a humanities student, not a doctor), if there are changes in the way your body works - negative changes - it will not bring you much stability in long term.
(and yes body image is important, say what you want).
and oh roadrunner, my mom had vicious reaction to cholesterol meds too.
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