As Puhl later told The New York Times, fat-shaming, especially by doctors, is "very harmful to health."  Note the lack of statistical data supporting Puhl's claim.  We have lots of evidence that a BMI over 25 is "very harmful to health," just ask life insurance companies.  Is there any evidence that fat-shaming according to the author's definition--telling a patient with lipedema that they need to lose weight--lowers patient life expectancy?  Doesn't that mean My 600 Pound Life subjects would live longer if they never saw Dr. Nowaradzan?