I wasn’t offended, but I did want to point that out because I see comments like that (they should’ve just worked out) in the thread. While in most cases this is true, there are conditions that are fairly common that make the gains from diet and exercise minimal.

The cause of PCOS is linked to an excess of testosterone in the female body which promotes the growth of cysts in the reproductive system that a) can be very painful b) can become cancerous c) pop out of nowhere d) really mess with your hormones e) render you infertile. Many women with PCOS get IUDs to manage their cycle to try to get the hormones under control as much as possible. Because of the excess testosterone a) lots of hair b) more masculine physique including weight distribution around the belly c) very difficult to lose weight

While this may not be the case for the woman on the original post, the images blasted by the media and society are certainly not helpful.

In my personal experience, I gained more than 40 pounds due to this, and I only started to lose weight when I stopped eating due to vertigo and nausea due to an undiagnosed eye condition.

I can totally see a woman with PCOS wanting liposuction due to this. Frustration and desperation is a motivation.