(Admittedly in a flamewar) I once flat out asked someone why they felt the need to point out to fat people that we're fat, because we know. They responded, "People are often delusional about their problems". I still kind of wish I'd replied, "such as when they assume omniscience?" but it's probably better I just gave up.

Also I have a hard time beliving this woman is actually 600 pounds. I mean it's possible but it's not likely.