Not caring about themselves, very harshly, for years. It takes a shit ton of effort to not care that much. 3500 calories is basically a pound of fat from what've read, so do that every week from shitfoods, come up with excuses day in and day out, eat only the worst crap you could find, throwing all reasonable decision making to the wind, then take your clothes off on the Internet and capitalize on 1) being a victim, and 2) being so brave.