Not defending the fat fuck, but I've met older guys irl who got in shape after their dr told them they were having health problems directly attributable to their weight. Their probably the 1/170 that actually took it to heart when their dr said "Your going to eat yourself to death w/ in the next 10 years" instead of getting on tublr to post about how their dr "fatshamed them" and how fatphobic the healthcare system is while crying into a tub of ben & jerry's and butter.