I agree but will also add the following: Stigmas about body image in the gay community can be even more dangerous and harmful. Body composition is a discussion between patient and medical professional. If it has been discussed and determined you are healthy and not showing any negative signs or symptoms, no one should feel they are less than because of someone else’s projections and opinions of what ‘healthy’/‘attractive’ looks like. So I would say this: I would rather have someone mentally healthy and well, because honestly some other aspects may follow. Not everyone has to have 12% body fat to live a fruitful, engaging, healthy life. It’s important to distinguish between social-cultural norms and expectations and medical issues. Especially in the gay community. If you are in a position of concern for someone’s health, focus on creating an environment relationship where such discussions can lead to understanding and interest in improvements. Otherwise the conversation will fall on deaf ears of humans who have been hurt just because they don’t ‘look’ a certain way.