Is this how it is in America now...being medically obese is considered "not so bad?"  Not only that, it's verboten to not pretend middle-aged women get fat because of nefarious outside conditions and not their own actions.  And god forbid you make sexual attraction a prerequisite, that's "shallow."  The thing is, you can't fuck someone's personality, and more to the point, people who say "what about my personality?" have a terrible personality in the first place, as people with good personalities would never ask that question.  It's impossible to be attracted to someone with no attractive features. My mother blames hypothyroidism and having three children--but she then proceeds to eat stuff like potato chips with ranch dip (on the logic that it tastes better than merely eating ranch-flavored potato chips).  Hypothyroidism is 1) medically treatable--you can take pills that solve the problem of hormonal deficiency and 2) doesn't change the laws of physics.