Maybe a little unrelated, but maybe this shows one of the sources of fat-shaming. Addicts seem to project their condition into the environment, so if they see someone who they think is also an addict, they project their self-hatred onto that person. If that targeted person can legitimately say, “I’m not addicted, I have medical condition such-and-such” instead of getting a reprieve from the projection, the projector flies into a rage and amplifies it.
I have also seen this happen to disabled people whose condition resembles something that makes people think they are addicts, when there’s something else going on, like an injury or illness.
The worst fat shaming I ever got from a doctor was from one who seemed like he was on something - he was completely erratic. The terrifying part of this hostile exchange is that I couldn’t prove it, so I had no way to make a complaint.
I’ve also had plenty of people who know nothing about PCOS insist it can’t possibly be the cause of my weight and I must be overeating, *just as they had once been overeating* which proves it wasn’t about me at all.
I get a lot of this kind of projection from people, in different subjects, but usually weight or disability related. It’s obvious it’s projection, but it’s not always obvious what the person is projecting, and I have never been able to find a defense against these people that works, except avoidance.