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I can only repeat that this is coming from my personal experience, but I take this sort of thing really serious.
I've had a life time of watching my (other) grandma making these sort of comments towards my mother and my sisters.
"But you looked so good in the late 80s!"
"Yeah, that's when I had an eating disorder, thank you mom"
I really have a thin skin with that sort of thing.
Yes, obesity is a serious issue as well, but I haven't had anyone I know die or be submitted into a psychiatric ward for obesity, while anorexia did.
It's a touchy subject for me. Especially when it's directed towards someone who doesn't look even slightly in danger of being obese at all