That meds make people fat remains a huge (no pun intended) concern. Accepting the bodyshape of everyone does not mean that the current situation in which people need to choose sanity or lesser weight should be accepted as well.

Btw it has been always obvious to me that morbidly obese people have at least one health condition because it is not possible to eat that much more. So either a genetic condition or a medication or diabetes but not the calories.