here is an image that has become familiar enough online to generate reflexive laughter: a man with a belly so dramatically distended that it calls to mind the final stages of pregnancy. The comments sections fill quickly with jokes and assumptions about too much food and too little exercise. Medical professionals, when they see that image, tend to have a different reaction entirely. Because in a meaningful number of cases, what appears to be excess weight is something the body is trying to communicate through the only language available to it: visible, physical change.
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