I've never been around a woman who didn't want to be thinner. Over the years I've been asked by women to comment on their size and my input never matters. I could say they look great, they're too thin or too fat (never tried that one, though) and they always stay the course about wanting to slim down.
So, in short, it doesn't really matter what we think. Body image is a personal thing that everyone has to work out for themselves. As long as my girlfriend isn't turning into Mamma Cass or Lindsey Lohan, I tend to leave the subject alone.
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