Not that anon, but is it even a question of just self esteem alone? When I got fat the physical discomfort was just as bad, if not worse, than being unable to 'love myself' or be confident. Maybe the same logic applies to people who've always been fat, but surely even they can recognize the physical limitations of being big. Struggling with athletic activities, taking up extra space, your thighs rubbing together, your clothes being too tight in certain places, etc. I'm average weight now but my extra body fat still gets the way and bothers me in a physical sense even though it's not too hard on my self confidence.