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Skinny comments after big weight loss can sting just like the old fat ones

24 replies22 peopleJun 10, 2026☆ Follow
Summary

why do people comment that you look too skinny or sick after major weight loss and how should you respond

The original poster lost over 240 pounds through keto, gastric bypass, skin removal surgeries and tirzepatide, reaching 125 pounds at 5'4". She now receives multiple daily remarks questioning if she has cancer or is using drugs, which feel as hurtful as prior fat comments. Other participants explain these remarks often come from jealousy, cognitive dissonance or the commenters' own insecurities rather than genuine concern. Advice centers on reframing reactions, limiting access for toxic people, adding strength training and remembering the health gains achieved.

What this discussion establishesStill open

how to handle ongoing comments from close family members such as a parent who called the poster a junkie

Nothing here is advice.

24 replies · 22 people
AmberCompass54archiveopening postJun 10

My story started in 2019 when I weighed more than 350 pounds. After trying strict keto for a year and a half I reached 240 but then plateaued. I traveled for gastric bypass surgery which brought me to 160. Two follow-up trips addressed excess skin and removed 15 pounds total, landing me at 145. Life stress later pushed me back up to 178. This February I began using tirzepatide along with a couple of other compounds. Now at 125 pounds and 5'4" I sit in the normal BMI range, yet I hear negative remarks several times a day that feel just as bad as the old fat comments. This week alone people asked if I had cancer or looked like a drug user.

GreenMeadow54archiveJun 10

Changing how you look through serious weight training is possible if that is your goal. Changing what others say is much harder. Most people speak without thinking and simply repeat ideas they absorbed from society. Comments about appearance often come from people unhappy with themselves. You control your own reaction by deciding not to let the remark affect you. A therapist can help develop better ways to handle negativity if it keeps bothering you. Adding gym work can also help rebuild lost muscle.

AmberCompass54archiveJun 10
↳ replying to @GreenMeadow54

Thanks for the detailed reply. Other people's views usually do not affect me much, but hearing the same thing multiple times daily is starting to wear on me. I have lost muscle and bought weights plus a bench to begin lifting three times a week. I am starting very light because of a rib and hip issue I do not want to worsen, but once that improves I plan to train harder.

AmberTimber37archiveJun 10

One hundred twenty-five pounds is an excellent weight for your height. Few people are perfect, and health issues can lead to weight problems or other conditions. Being content with yourself brings the most happiness, and you have every reason to feel good about the results and the health improvements. At my age an athletic, toned build looks best to me, and that often includes a more defined face that shows commitment.

SteadyQuill55archiveJun 10

My main question is what your relationship is to the people making these remarks and whether you can limit their contact with you. I am the same size and roughly the same age yet I do not get told I look sick. I also do not encounter many strangers, but the people I do see would never say something unkind about my appearance to my face. Anyone who did would not get another conversation from me.

WarmCompass27archiveJun 10

Congratulations on the large weight drop. Losing weight is difficult no matter the method. Beauty standards vary widely from person to person. Only your own view of your appearance matters. You cannot satisfy everyone. It is understandable to feel the way you do after such effort. You owe no one an explanation. Keep improving your body in the way you choose. When I was very lean I sometimes heard comments from women who said they preferred men with more weight, which I took as their own insecurity.

IronKettle76archiveJun 10

Many of us still carry shame from having been heavier even after the weight is gone. An interview with Jerry O'Connell showed he still gets upset when people label him the fat kid from his old movie role. That is a reminder not to let others affect you. Backhanded remarks usually come from jealousy. You accomplished something impressive and should keep reminding yourself of that.

CopperMarble29archiveJun 10
↳ replying to @AmberCompass54 (opening post)

Consider taking a short break from the medication and increasing food intake for a while. Some people create very large daily calorie deficits without realizing it, which can lead to hair loss and an unhealthy appearance. Occasional breaks and higher calories for a period can help avoid that. You cannot escape basic nutrition and biology; if the body senses starvation it will show it.

WryFenwick45archiveJun 10
↳ replying to @AmberCompass54 (opening post)

People who criticize are often just jealous. Your results are impressive.

AmberCompass54archiveJun 11
↳ replying to @SteadyQuill55

Most of the comments come from the 76 people on my team, many of whom have worked with me for ten years and saw every stage. The junkie remark came from my dad.

CopperSignal27archiveJun 11

Part of the reaction may be that people still picture you as you were when much heavier. The mismatch creates discomfort so they say you look wrong even though you look healthier. It is not a conscious process and does not excuse poor manners, but it explains some of the skinny comments. Reaching roughly one-third of your starting weight is still a major achievement.

KeenHarbour69archiveJun 11

Seeing someone make major positive changes can make others feel inadequate, so they try to pull the person back down. The remarks have little to do with you and everything to do with their own issues. Focus on the people who support you and treat the rest as background noise. Congratulations on everything you have done.

PatientAlder89archiveJun 11
↳ replying to @AmberCompass54 (opening post)

Congratulations on completing such a long process. Keep reminding yourself of the positives. It is impressive how quickly the change happened. What dose did you reach?

ClearWillow59archiveJun 11
↳ replying to @AmberCompass54

Hearing it from your dad must hurt especially, since family should offer support without conditions.

SteadyQuill55archiveJun 12
↳ replying to @AmberCompass54

I cannot imagine speaking to my boss that way even when concerned about his health. The closest I have come is suggesting group activities when he mentioned wanting to exercise. It is surprising that your staff feels free to voice any opinion about your body.

AmberCompass48archiveJun 12
↳ replying to @AmberCompass54 (opening post)

Ignore the critics and do what works for you. If asked about the weight loss you can answer that it was medication and leave it at that.

BlueTimber78archiveJun 12

My nicknames shifted from references to being fat to references to looking like I come from a famine area. I did not mind the fat comments and I do not mind the skinny ones. When asked I simply say it is from the medication. Most people who lose large amounts of weight seem to face similar reactions from their circles. Liking how you look and feeling good about yourself matters most.

SlowTimber14archiveJun 12
↳ replying to @AmberCompass54 (opening post)

Distance yourself from people who make those kinds of remarks.

PatientTimber45archiveJun 12

Ignore the negative voices completely, focus on training and health, and stop caring what others think because they are usually just envious.

WryHarbour43archiveJun 12

Years of weight changes have shown me that any uninvited remark about looks, good or bad, says more about the speaker. Even positive comments remind me how often people judge bodies. Sometimes I appreciate the words and sometimes I do not feel like discussing it. Congratulations on your progress and best wishes for whatever goals you set next.

PatientMeadow16archiveJun 13

I am sorry you are dealing with these remarks. Some people are hurtful whether they intend it or not. Your story motivates me to improve my own health. Keep your head up because you earned the results.

SlowFenwick79archiveJun 13

The only opinions that count are yours and your doctor's regarding whether the weight is appropriate.

LevelAlder29archiveJun 13

You put in real effort and reached an excellent place. It is hard to understand why anyone feels the need to make rude comments or pry into whether you are ill. I am sorry you have to hear it.

QuietSignal61archiveJun 13

My relatives began calling me skinny-fat and saying I was too thin, yet they had little to say when I carried more weight.

SlowThistle88archiveJun 13

Your results are impressive and your story can motivate others. Most observers only see the current point and not the years of work behind it. People will always share opinions without knowing the full picture. You are at a healthy weight and have reason to feel proud. Adding strength training is a good next step for body composition and confidence. In the end, being healthy and content with yourself is what counts most.

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