To be fair, that's coming from the bias that's pro meds. Side effects in general are a large reason why I don't take psychiatric medication, and weight gain is definitely a big factor in that, but it has very very little to do with what society thinks, especially when I'm already known to be rather unorthodox. I really wouldn't be so fast to assume that that's the reason people don't take meds.

As for people who "denigrate" the obese...well, maybe some of those who choose to criticize are attempting to help. For example, it became pretty acceptable to heckle smokers, and many smokers have probably at some point been told by a stranger or someone they didn't know that they shouldn't smoke, and how they should know that smoking has a huge negative impact on their health, etc. While this is often annoying, and often quite self righteous, the criticizer has a point, and probably has (relatively) good intentions.

Society is slowly moving towards a direction where heckling the obese isn't unheard of, and at this point in time, it's really just a debate in whether it's socially acceptable. I'm just going to toss this quote out there -

"I was at this meal, and it came up that one of the people was a smoker. And somebody else at the table started hectoring them about 'what's the matter with you, don't you know how bad it is for you, it'll do this, that, and the other to you and you really should stop.' And the smoker, rather than saying 'f**k you!' you know, 'mind your business!' Which I think is the appropriate response, was abashed and defensive. 'Oh I tried to quit and yeah, I'm gonna try again and yeah you're right,' and so on. At that same table there was a quite large woman, and I was wondering, what if this guy, instead of confronting the smoker had said to the large woman, 'what's the matter with you, you fat pig? Don't you know how dangerous it is to be overweight? Stop eating, and don't you dare get dessert! and what's the matter with you?' right? Same logic; I'd be hard-pressed to find a distinction between the two. So now one is socially acceptable (to hector smokers) but the other isn't quite, yet. So the question is, at what point will it become acceptable to publicly hector fat people in the way that the smokers are publicly hectored?" - Jacob Sullum

And yes, I know that many here are going to say, but it's because of the medications I'm on, but to that I say, it's still the minority, and regardless of your reason, you do play a part in how your body develops.