Most people don't intend to get fat or whatever vice (drugs etc) they have, it happens over time with stress etc. This lady gets free help for doing the show right? I think people don't realise that who you are around plays a role too, enabeling or encouraging the eating for their own needs. I thought I was fat constantly throughout my life even when I was running 3-8 miles a day for cross country, taking ballet technique and pointe clesses, competing in baton twirling..... never could get where I wanted to be. It's all emotional or mental, and combine it with mean people, strangers, friends, family, patients I cared for; who've said I was fat at 115, 120, 130, 140, 150, 160, 170, 180, 190, 200 lbs, add in not being able to assess yourself correctly in the mirror and feeling ashamed you think you look 600lbs and knowing even when you lose it won't be good enough, because fat shaming even when at a healthy or even slim fit weight is what people do now. I'd got to 158 after my son was born, then moved and gained more weight back with depression, got pregnant again, and the ob dr didn't believe I'd even lost the weight after my son was born because it wasn't ever charted and lectured me I needed to basically not gain any. Not easy feat for a gestational diabetic. Well, sometimes so much pressure and guilt happens you screw it up, I delivered this last baby at my heaviest. I hate being fat. I don't wish it on anyone. Once I lose the weight again I'm going in for a damn office visit so my chart says 140 lbs, not skinny but healthier at least.