P wouldn't ever ever admit that it bothers her, but it will, 100% this photo will bother her. We give Big P a hard time about her weight (mainly because she is huge and that she's in completel denial and had weight loss surgery) but it's generally more acceptable for a man to be fat but asa really is getting huge too. He has no neck, his beer belly is spilling over his shorts, he's just as much of a health risk as P and has put almost as much weight on as P in the same amount of time. They really do need help. I know I can't talk, I'm not exactly thin and don't have a brilliant relationship with food, but I'm pretty sure I've now worked out where the behaviour is coming from (undiagnosed ADHD) so hoping once I have a diagnosis and medication and hopefully, some ADHD focussed therapy I can finally beat it! Their problem is that they have all the money in the world now, before her surgery they didn't have the money to eat out every night and multiple sugary dunkin runs a day and huge cases of snacks from costco, their diet would have been constrained somewhat by their income. I do feel for her in some way, it's horrible trapped in a bad relationship with food when there's food everywhere.... HOWEVER, she does nothing to help herself when she could so easily help herself. I would love to be able to afford to go private for my ADHD diagnosis rather than waiting for the NHS* and pay for some eating-specific counseling but I just can't. She can afford therapy whenever she wants. She is both fully aware and in complete denial at the same time.
* the NHS is brilliant and you can usually be seen pretty quick for non-urgent stuff, but for mental health stuff it's severely lacking and underfunded at the moment- the wait for adhd assessment, depending on the area, is anywhere between 6 months and 3 years at the moment, and unless you are severly anorexic there is little help for eating-related problems, although again depends on area what is available.