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The way you carry yourself is the same way people would address you, if they had felt pity for themselves about their condition, most likely people would've made fun of them, but on the other hand they took advantage of their condition and make cool money from...
The world no longer see them as plus sized women but an inspiration to other people facing the same condition.
You're right. I think people would've made fun of them anyway, so why not take advantage of the situation and make money. They're celebrities nowadays and people who would criticize them on the Internet will actually beg them to take pictures with them when they see them face to face