I have it on good authority (from anecdotal evidence, naturally) that fat shaming doesn't happen in the doctor's office. My grandma and almost all her friends are bariatric; doctors have suggested hypnotherapy and acupuncture before being willing to kinda maybe mention that maybe they should consider talking to a dietician. These heifers go to the doctor multiple times monthly because they're in their 70s and 80s. Never once has any of these dying "women" been told, point-blank, to stop shoving food into their fucking mouths. My grandma has been getting SPINAL TAPS for more than a year now to combat the pain, and doctors are more willing to do that then tell her to get her shit under control before croaking.