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Gender is intrinsic to a person. Weather they've been born as their gender, or not, they are what they are, and are valuable as such.
Being obese is like say, having diarrhea. Every effort should be made to undo the situation, with the acknowledgement that there may be underlying causes that need to be addressed first. (Food poisoning, food allergy, etc)
Being obese is a condition, not an intrinsic identity. Gender identification, and gender dysphoria are not conditions to be discarded. Being a gender is not a condition. I would no even hypothetically suggest someone should change their gender due to an external force,... beyond their own personal journey and choice, as that is bigoted speech.
Folks ARE the gender they visualize, or are born with. Gender affirming care, or confidence in your chosen gender are not up for discussion.
Folks HAVE obesity. It's a condition. Even while having this condition, they are valuable, and important.
To throw your analogy in the gutter: the elderly also require more healthcare and support, and their age is intrinsic. They cannot change it.
Neither gender or age can be "fixed". Obesity can, and should. CICO is how it mechanically happens, mental healthcare is how it lasts.
Men and women tend to be different sizes, as I'm sure you've noticed. Body size and shape is part of gender. Trans people who are too big or too small to fit their ideal body shape suffer dysphoria. And in cis people, the symptoms of obesity bear an eerie similarity to stress symptoms. Part of the unhealth of obesity for many cis people is gender dysphoria. They have a body shape that doesn't make them happy, it stresses them out. However, not everyone in the world is a man or a woman. There are other genders, and some of those genders have an ideal size that is larger.
You say gender is nothing to cure, but then you say obesity is always a problem. And you say it to the face of an enby who gained weight on purpose and saw a reduction in physical dysphoria as a result. I didn't feel comfortable taking pictures of myself until I was what the BMI scale calls overweight. When I was thin, the face in the mirror didn't look like mine. It looked like some ugly person I'd been told my whole life was me. I've grown happier and more confident, and I have fewer suicidal ideations
And I still pursue physical health at my current weight.
Good for you. Your gender is not to be fixed. Your perception of weight validating your gender is for your mental health care professional to review. Not me.
Your general care doctor will of course encourage you, but if asked about obesity specifically, will guaranteed recommend a healthy body weight to avoid risk factors and complications. Consider COVID hospitalizations, as one example.
Actually, my GP gave me medicine to help my appetite even though I'm clearly obese. I was struggling to finish meals and asked the doctor for help. Doctor checked that I understood the risks, made sure I knew the warning signs of diabetes and what to do about them, and gave me appetite pills. I have had my prescription renewed at various different GPs and none of them ever made an issue of it. Turns out, doctors are actually very supportive and attentive to the patient's individual needs, and it's only assholes on the internet who make a big deal out of weight. Americans' mileage may vary because their healthcare system is three insurance companies in a trench coat.
The question is, how many people are nonbinary like me, and feel pressured to live unhealthy lives because of people like you? If I hadn't transitioned from male to female, then I wouldn't have the socio-political literacy to have this conversation about gender with you. And that's most people. How many people are assigned thin woman at birth, are actually fat woman on the outside, but don't know shit about gender politics because they're not traditionally trans? It could be a few, it could be a lot. But I guarantee the people who are like me are suffering because of the judgement of those who say there's no such thing as Health At Every Size.