Fatorexia: Overweight People Who Deny They Are Fat

The dangers of a distorted self-perception of being fat (as in anorexia) are clear, present and well-documented. But what about a distorted perception of being thin? Or at least "not fat"?
British author Sara Bird examines this phenomenon in her book Fatorexia: What Do You See When You Look in the Mirror?"
Bird herself was shocked to discover that she was overweight. At 5'10" and 238lbs, this may be hard for many to believe, but Bird says this of her epiphany;
When I looked in the mirror, I saw a confident thin person, when in fact I was obese.
Bird had developed what article author Suzanne Leigh described as a "magician's menu of optical illusions", which included:
- Wearing generously cut clothing with elastic waistbands
- Looking at hand mirrors to check her appearance, rather than full-length ones.
- Favoring ornate jewellery and fabrics to draw the eye away from the expanded flesh beneath.
- Using talc to avoid chafing, rather than stepping on the scales for a reality check.
I've said for ages that I suffer from the opposite of anorexia. My friends are sizes 10 to 14, I'm a 20. But, when I'm with them, I think that I'm the same size as they are, until I see photos of us together. Then I have an almighty shock to see that I'm huge compared to them.
Science seems to back up Sara Birds' thesis. A study in the British Medical Journal found that one-quarter of obese or overweight adults did not view themselves as fat.
Experts say our self-delusions about weight appear to be fed by the apparel industry with its prevalence of "vanity sizing" - cutting clothing to appear more flattering and skewing sizes.
Bird has since dropped 20lbs through minor lifestyle changes, and advises a similar approach to fellow "fatorexics".
Fatorexia: big problem, minor problem, or no problem?
In my estimation, "fatorexia" is a legitimate concern for many individuals. Although I don't necessarily think that really obese individuals see themselves as thin per se, I do believe there is a significant amount of people who are in denial about their weight being problematic.
I don't think we'll see funding, support groups, or treatment centers for "fatorexia", but I don't think it would be a stretch to say it is a form of body dysmorphia.
What do you think? Is "fatorexia" a real problem, or just some pop-psychology buzzword with little significance?
Source: SFgate
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168 Comments
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Created / Updated: January 19, 2012
It's probably fuelled by the fact that overweight is now "normal" seeing as so many people are overweight/obese
ReplyThis is very true! There is so much emphasis on being happy in the body you're in and how the BMI system is inaccurate. While the BMI system may not be the best indicator of health, people use that as an excuse to stay overweight. No one wants to be criticized so people rely on the majority as a vantage point or "normal"...which is dangerous when the majority of Americans are overweight!
ReplyHear,Hear! drive me nuts when people say hey im the same sizr as the average american woman and i always say uhhh thats because the average american is overweight or worse! very very true...i have anorexia,and i always wondered if there was an opposite disorder for overweight women. this is an interesting article for sure!
ReplyAbsolutely! It's hard to get a barometer on what's "normal" or even "normal range" nowadays.
ReplyMike. You're absolutely right. With 70% of Americans being overweight, the "new normal" is clearly not healthy. This phenomenon, whatever we call it distorts reality and has real health consequences.
Whether someone feels "comfortable with who they are" isn't so much the issue as whether they're "comfortable" with heart disease and stroke.
ReplyRecognizing this issue as a problem is the first step to solving it.
I completely agree that it is a dysmorphia, and as being underweight has health risks, so does being overweight. There is nothing wrong with looking in the mirror and seeing a beautiful and confident person, but how many times does that person struggle with their wardrobe and other clothes fitting frustrations? How much money has been thrown at insta-thin gimmicks. If a concept like this caught on, it could really change change the core issue: the human mindset. It could change the mind set of how people view health in relation to weight. An avantgarde idea, heck, I'd read the book.
ReplyIt is incredible that the BMI is still used.
Many times I have seen that individuals think that they are ok regarding their body-fat by calculating the BMI index, yet, their are fooled.
It can give you the wrong picture of your current health.
Let's clean up this subject. Read about "The Measure of Physical Health" http://abcnews.go.com/Health/Exercise/story?id=3017118&page=1.
Stefan
ReplyThe fact that we're still using BMI is absurd! I was always a "big kid" and athletically inclined. At 5'7" and 167 lbs, I was considered to be overweight but that's nonsense. I had a lean defined midsection, a butt you could bounce quarters off of, defined legs and arms. The BMI standard doesn't take into consideration bone structure and muscle mass. I have a large frame and easily gain muscle-sometimes too much muscle, but it told me I was overweight! There has to be a better way to figure this out mathematically.
Replymy body is exactly the same, I was actually talking about that with my girlfriend today. I am solid, but technically over weight for my height 5'7 175
ReplyThe US Army uses a body fat calculator which uses height, weight, and measurements from the neck, waist, and hips to calculate body fat percentage. The measurements are supposed to accommodate people with higher muscle mass, as opposed to higher body fat.
I can't say for sure how accurate it is, but it is almost certainly an improvement over BMI calculated only from height and weight.
ReplySo true. BMI is THE WORST calculator of body fat that I have EVER seen. It's mystifying ANYONE still uses it. There are other way to calculate body fat that don't include going online and clicking in your height and weight. People need to go to either the gym or a doctor for that sort of thing, not the internet.
ReplyYes,
ReplyI was a fatorexic. Well reading your article, has given a name to my condition. I used to consider myself as being 'normal', until I had my annual medical this month and my doctor gave me a dressing down, looking at my BMI of 32.
I have lost 6lbs since and am persevering to reach a goal of 20lbs in about 5 months.
Thank you for sharing.
Well done, Anand! Keep us posted on your progress.
ReplyI had no idea how much weight I'd gained until I caught a glimpse of myself in a full-length locker room mirror. I, too, rarely saw myself from the chest down -- my bathroom mirror is high on the wall -- and I lived in elastic-waist or draw-string pants. I've always had a square jaw so my face has always looked full, and my chest has never been small either, and since neither of them had changed size or shape (or so I thought!), then I was completely unaware that everything from the waist down had slowly been expanding and sagging. Now I make a point of stepping in front of that full-lenth mirror; the cringe-factor alone is enough to make me walk away from the ice cream.
ReplyWhile I think this is an interesting phenomenon and really not completely uncommon, I think that terming this "fatorexia" is inappropiate.
ReplyExactly! I was thinking, Anorexia means no appetite, right? Then fatorexia... cram appetite? That doesn't seem to fit very well..
ReplyNo...anorexia is a psychological disease. For example, a skinny person that thinks that they're fat.
ReplySo how is a fat person thinking they're skinny any different? It's just as much of a psychological disease, and just as much of a delusion.
Replyanorexia means "lack of appetite"... anorexia nervosa is the psychological disorder where very thin people still see themselves as fat.
ReplyFatorexia gets the meaning across well enough.
I agree (that it's not appropriate). There is already a term for not seeing your body as it really is, and it's called Body Dysmorphia. And this is actually something that people of ANY size or weight can have.
For people who lose LARGE amounts of weight (such as 100+ lbs), it can take up to two years for someone's head to catch up with their physical reality.
The woman in the article was not suffering a related food disorder in relation to her body dysmorphia so the comparison to Anorexia (or Anorexia Nervosa) is less valid.
ReplyI think this applies both ways -- I like to say that I have manorexia. I can look in the mirror and see fat even though I'm
Whatever you want to call it, I think it's a self image issue and a real problem.
Replyto my opinion, it all goes back to one point: our earlier years. most big girls (because it's mostly a woman issue) suffer from a distorted vision of their body because at no point were they ever told that they looked good, and were 'worthy'.
Replysome other people are just plain greedy and lazy.
I'm a size 18, am overall healthy and really active, despite a BMI of 36 (OMG) and try my best to look good, dress well as in wear clothes that make me look 'slimmer'. and until i turned 40, and moved far away from my parents' reach, had not been able to notice how big I was getting, or how much weight i was losing, had been called a fat cow when i was putting weight on, and superficial when i was trying to be feminine. crazy people
Post your stats, including body fat % and then we'll judge you.
ReplyOh, I totally believe what she's saying. I don't know if I'd term it "fatorexia", probably just plain old "denial" works better. I knew I was overweight, but until I saw a photograph that my daughter had taken, I was in major denial about just how fat I was. That photo was my wake-up call, fortunately, and I've lost about 64 pounds very slowly since then, with maybe another 30 to go.
ReplyCongratulations on your weight loss. Continue the good work. I too have lost 60lbs and it was not easy at all.
ReplyThanks! I'm still slowly chugging along, having lost 72 lbs. now. What's funny is that when I look in a mirror, I still see "fat", I can only see the difference when I compare photographs. The mind is a very strange thing indeed...
Replychristine... i am the same... i have lost over 100lbs in the last 2 years... i know i still have about 50 more to lose before I am happy with myself...but i look at myself and i see fat still.. and dont see the changes that have happened. that is.. until i look at pictures from a couple years ago.. compared to the now pics...then i go WOW to myself. i have very skinny arms and legs... i carried all my weight in my stomach..and always have, even as a child. im glad that its finally sliding off of me.. and one day soon i hope for it all to be gone... i still wont be 'model' slim but i will be healthy and will live just that much longer for my children :)
ReplyThis is very apparent with men who are losing weight and compare it to the BMI charts. As in the BMI charts there is no difference between a 6ft tall man & women as to what their "healthy" BMI weight should be. Society will say it is ok for the man to weigh more and not the woman.
ReplyI have been fatorexic on and off for years. My way to overcome it is to go shopping and try stuff on in the three way mirrors. No hiding behind hand mirrors for me. I also know I should be a size 10 so if my size 10's are not fitting I know it's time to get things under control with the eating. I used to be a size 14-16 and the first thing I did after losing 25 lbs. was pack all of that stuff up and take to the Salvation Army. Never hang on to "fat" clothes as it is giving yourself permission to fit back into them.
ReplyYes I agree! I knew I was overweight when the sizes I used to wear suddenly looked atrocious on me in the 3 way mirrors in store dressing rooms.
ReplyUnfortunately I went about 2 years of either just not shopping, or only buying baggy or elastic-waisted clothing before I decided enough was enough. Although I knew I was overweight, I simply could NOT stop overeating. But finally it has clicked and I'm down 12 pounds. I have about 8 more to go! And I fit into all my old clothes again. woop woop. So glad I still have them in my closet! I always knew that one day I would fit into them again. =)
I'm also glad I didn't go out and spend money on jeans in bigger sizes. I refused to be content at such a high weight. So instead I just never wore jeans...Now it actually feels comfortable to wear them, as it should be!
Great idea, with the clothes sizes. I refuse to buy larger than a 10. If they feel tight, I watch what I eat.
Another thing that helps me: My scales sit right in front of my food pantry, to remind me not to snack too much.
ReplyThe term "fatorexia" is offensive. Anorexia is a serious psychological disorder and is a lot more than just "thinking you're fat." Stop the emphasis on weight- focus on health.
ReplyI didn't know there were that many people that believe they are obese
ReplyYes, how dare a fat woman think she looks fine (we need to tell her she's fat you know!) or not obsess on her fat or feel she has a right to be seen as a human being just like thin women! Or try to wear jewelry or other flattering articles of clothing to draw the eye to her best points? Women must punish themselves every couple months by trying on bathing suits in harsh lighting and seeing how fat they truly are!
Ugh. This article is annoying and best and harmful at worst.
ReplyI don't think you understood the article.
ReplyLisa - like Duane said, you took the article completely out of context. This is not about "looking fine" or making anyone feel bad about being overweight. It's about perceptions that can delude one into thinking they are "fine" within a context of health.
If you find the article "harmful" then you are entitled to your opinion. But what's "harmful" to me, is people thinking they don't have a problem when they are putting themselves at risk for health issues.
Losing body fat for health purposes is quite different than "obsessing" about being fat. I welcome yours (and everyone's) input but I won't engage in a game of "ignore the middle" with you.
ReplyShe may not be the only one ignoring "the middle".
I said on here once before....
I'm only 35, but I remember a time when if you had less than 30 pounds to loose and a little bit of stomach pooch, we would call that "out of shape" not "fat".
Now all the diet products on tv feature "clients" that fit that model and not obese people because it convinces everyone that they need to buy the product.
Replywe still don't call that fat. in fact, we call it normal. the article focuses on people who are medically overweight, with high BMIs.
ReplyThe opposition of "obese" and "confident" in the first quote does really bother me. It IS possible to be overweight yet still healthy and happy with your body.
However, I think that if someone is truly in denial about their body, they are not truly healthy (mentally) or happy with it. Seeing yourself as a size 6 when you look in the mirror at your size 16 body and being happy with the size 6 you imagine is not healthy. Seeing your size 16 body for what it is and loving it for what it is can be.
ReplyI could not agree more. I am obese, and have been my entire life. I've skirted on the low end (5'5", 170 lbs) and spent far too much time nearer the 300lb mark. Right now I weigh 245ish. I have never denied my weight or it's implications towards my health. I feel that being aware of ones health is paramount. (Though, awareness is not a cure all.) That be said, damaging one's mental heath in pursuit of a scientifically pre-determined healthy weight is ludicrous. Overweight people who eat a balanced diet and exercise regularly generally have better health than their thinner counterparts who do neither. Telling fat people with good self esteem that they are fooling themselves, is criminal.
ReplyI like what you mentioned about "skinny" versus "fat" health-wise. I find it interesting that there seems to be an overall misconception that thin people are comparatively more healthy then overweight people. I am 5'6", and 185 lbs. I play indoor and outdoor volleyball, tennis, badminton, slow-pitch and orthodox baseball, in addition to my regular weekly workout schedule. I am extremely active, have great blood pressure and cholesterol levels, amd am overweight.
ReplyI coach adolescent sports and can run circles around some of my skinny but "fat" kids. They are waifer thin, weaker then a wet paper bag, and exhaust easily. I am not suggesting that all "skinny" people are like this, but I am saying that thin people are not necessarily more healthy then their overweight counterparts. It's important to keep things in perspective. Maintaining a healthy lifestyle that includes regular exercise is really where it's at health-wise. According to my doctors, I am not at risk for a heart attack or stroke, but am definitely overweight. What does this mean for me? It means I wear a larger size then some of the other people I know.
I think this is definitely becoming a huge problem in America. With the media promoting "curvy" (aka, overweight) women and size acceptance, a lot of women who are overweight and obese are seeing themselves as being normal. It's definitely skewing our view of "normal sized" people. I am a slim woman and many people think I'm "too thin" even though I'm at a healthy weight for my body and have good body composition. I think when I was fat, I had a big case of denial about it...I didn't think I was really "fat" until I saw a picture of myself at a potluck stuffing my face. I had a double chin and my thighs were massive. And all my clothes were getting really tight. I tried convincing myself that they had shrunk in the dryer, but that excuse only went so far before I realized I had to do something about it before I gained more weight.
ReplyWith the media promoting "curvy" (aka, overweight) women and size acceptance
LMAO
Where are these women in the media? The media defines Beyonce and J Lo as "curvy" - they're still quite thin, but unlike fashion models they actually have an ass. But nowhere near overweight! How many television shows have a plus-size woman as a series regular? (And the few that do, how many of them have NOT made their weight a central issue on the show?) How many magazines put them on the front page? How many commercials or print ads for products completely unrelated to weight hire them?
You must be consuming totally different media than I am. Yes, we hear about "fat-acceptance" now and then, but half the time it's in a derogatory, not celebratory, tone.
ReplyKelly Clarkson, Jennifer Hudson, Gabourey Sidhibe, etc...all of them are celebrated for their "curves", but all they are doing is telling overweight Americans that fat IS normal. Which it shouldn't be. I was on vacation at an international resort and the only really obese people that I saw there were Americans. I know it sounds really stereotypical, but that's just kind of how it was.
ReplySince when is kelly clarkson fat???
ReplyI was definitely fatorexic. I wasn't completely deluded, I knew I was overweight, but after putting on a baggy shirt and tucking my belly into my wasteband I would stand back and think "see I wear it well". For years I thought I was just a little overweight, but photographs opened my eyes to the fact that I was a lazy, obese slob.
I've lost 40 lbs, another 60 or so to go, now my perception has turned 180 degrees. Now that I am focusing on improving my health and dropping the weight, when I look in the mirror the fat is immediately apparent.
ReplyCongrats on your weight loss, Rob!
I find too, now that the weight is shifting and my "curves" (sorry, I'll always be curvy and I'm cool with that) are reappearing, I'm okay with seeing my belly and thighs as they really are. I know I'm working on it and I can be pragmatic.
The denial was, in retrospect, very scary.
ReplyAnn Wilson, lead singer of the band Heart, has talked about this problem. She was pretty skinny when she was a teenager and the band was just starting out, then in the early 80s she ballooned. But she says she didn't see it at all. She started getting hate mail from fans about it (honestly, how cruel can you get?) and it still took her a while to realize how much weight she had actually gained. She felt like she honestly had the problem that anorexics do, where they look at their skinny body and see fat - but the opposite.
ReplyI have some thoughts on vanity sizing...
1. Vanity sizing effects all sizes across the board, small and large. You can't "fudge" the size 14 and have the size 8 be true because 10 is a step up from 8, 12 is a step up from 10 and so on.
2. Vanity sizing is like paper money. It only means something if enough people come together and agree that it should have a meaning. Therefore vanity sizing is for all intensive purposes a true size if enough of the clothing industry engages in it.
3. Vanity sizing benefits SMALL people the most. Those who pride themselves on being thin and probably wouldn't mind being thinner.
I'm a size 14-16, it's not benefiting me. My size is available in both regular and plus size a good portion of the time. ( I can be at Victoria's Secret one day and Lane Bryant the next).
I doubt it is benefiting women larger than me. It is not uncommon for me to get the "evil eye" while I am at a plus size shop for being the smallest there. Besides, if you can only shop at plus size shops are the numbers 20 or 26 really going to matter?
Replyi disagree that vanity sizing benefits small people the most. often, small women end up being sized out. for example, i range from a size 00P/PXXS at Ann Taylor/Ann Taylor Loft to a XS/S at Forever 21 to a size 2 at H&M. many stores and brands simply do not make clothes small enough for me - i'm swimming in Arden B's size 0's and other brands' size 2's (the smallest they make). i either limit myself to shopping at the same 3 stores that carry my size or i take clothes to a tailor to have them taken in.
i have no illusions about my size. i know i'm a couture size 4 (a TRUE true size 4), which translates to anything ranging from 00 to 2 in the non-couture world. fashion retailers either need to re-center their sizing systems, or they need to have "small and short" stores in the same manner they have "plus" stores.
ReplyUnfortunately, that's what happens when plus size people are the majority. I worked so hard to get a flat belly (my abs are even starting to show), but I can't find tops anywhere that are short enough just to show a little off. Anything nice is long and baggy around the middle. It's all made for fat people. What a shame.
ReplyAgain, what is a "true" size. Just enough people getting together to agree to give it a meaning, it wouldn't have any more meaning than a vanity size would.
Now I worked for Victoria's Secret for five years. Bra's are an interesting garment in that they can't do their job properly if the wearer isn't wearing the right size.
A woman might purposely or unknowing wear the wrong size, but it is highly doubtful that a manufacturer tamper with sizeing. Sometimes different styles ( demi vs. full coverage) may not be complimentary to fuller figures.
Last I checked, VS bras topped out at 40 or 42 DD. A woman who wears that size would probably be around a dress size 16-18.
So that would be an example of a company making what people like to call a true size garment that is available for thin women all the way to smaller plus size women under the same grouping (misses, regular size)
ReplyThis is a fascinating sidebar discussion V. good perspectives from both sides.
Replyyes, your example is absolutely right.
vanity sizing is so rampant because those size 16-18 women don't like seeing those numbers on the tag when they shop. they enjoy seeing a 8-10 instead. therefore, they buy more clothes when the number is an 8 instead of a 16. likewise, a size 8-10 woman probably buys more clothes when the number on the label is 2 or 4.
this is all fine until you're the size 2-4 woman...and there's no size negative 4.
ReplyYou are so myopic about everyone bigger than you dying to be smaller, YOU prove my point about vanity sizing helping small women the most.
My example was AGAINST the vanity sizing concept.
I'm saying that a bra manufacturer ( especially for a store where the sales people have a measuring tape handy) probably would not tamper with bra sizes.
The 40DD bra size probably coincides with a dress size 16, the 42DD with a size 18. You can have a true larger size in misses sizes.
I DID NOT say that they tampered with the size, only that they grouped that size under misses clothing.
Different manufacturers stoped their misses clothing at different sizes. Some stop as low as size 10, others as large as 20.
But making an 18 a 10 I highly doubt.
ReplyI wore a size 18 a few months ago, and I had nothing in my closet that said size 8 or 10.
I intend to stop dieting when I reach between a 12 and 14. I prefer being on the fence. It makes all these issues irrelavent.
Replyi believe you misunderstood me. of course a size 18 from now or a few months ago is not going to be labeled an 8 or a 10 now. but a size 18 from say, 10-15 years ago will probably resemble a size 8-10 from today. i have clothes from 10-15 years ago labeled size medium, or size 3-5, and they still fit me fine now whereas those same sizes today will be too big on me.
and my point about larger people wanting to be smaller is merely an observation and a generally accepted fact about marketing. it sells clothes, and that's all clothing retailers care about.
ReplyOk but you said larger women like seeing the label that says size 8 or 10.
So I am guessing you mean actually seeing the number 8 or 10 on the tag of a garment that fits them.
Reply"So I am guessing you mean actually seeing the number 8 or 10 on the tag of a garment that fits them."
Correct.
ReplyI've often read about this "vanity sizing" phenomenon, but it is definitely not what I've experienced. I've worn the same size (14) for 17 years, and my clothes from 17 years ago, 14 years ago, and 3 years ago all say size 14 and all still fit. Of course I don't have a ton of clothes from 17 years ago, but a couple of special occasion clothes or other random bits have survived in my childhood closet at my parents' house. There are a few places where the size 14 clothes NEVER fit (pretty much any "plus" shop, where they're all too big), but at places like JC Penny, Old Navy, etc. I've worn the same size consistently for 17 years and the size hasn't changed.
ReplyMaybe a true size is supposed to be based on the size that humans were meant to be, before the fat epidemic took place. Have a look at the size of the average person a few decades ago before fast-food took over. The problem is too many people are too fat, because they are eating too much crap. Humans were not meant to look like pigs, nor were they designed to eat chemicals and by-products.
ReplyPS-I will never accept fat. So, you pro-fat activists are wasting your time.
ReplyThe size humans were meant to be? If you havent noticed, that is changing, and not by being overweight. I have a 13 year old daughter that is 5'10" tall and she is not alone. Several of her friends on the basketball and volleyball teams are tall girls. She wears a size 10 and is not at all overweight. She looks healthy and has a flat stomach. She excercises playing three sports almost daily. However she was born tall and with a curvy butt and thighs. NOT EVERYONE wants to be or is a toothpick. Everyone is different. Kids are just taller now than they used to be. As long as you are eating healthy and get some excercise each day who cares. If it fits, put it on if it doesnt get another number. **rolls eyes**
ReplyBeing a toothpick is as unhealthy (and unattractive) in my opinion as being overweight.
There is nothing wrong and everything right with a strong, tall, healthy, and curvy woman. Where I come from (Brazil) women who are stick figures aren't considered nearly as attractive as curvy women. Sometimes I think the American ideal of beauty is so misguided and so unhealthy...
ReplyWell, that is the biggest load of crap to come down the pike in a while. Do you have ANY idea how hard it is to find clothes in ANY store if you are sz 14 or larger?? You (as a 00 - do you really exist if you are a non-number?)can go ANYWHERE and find clothes but there are few and far between for someone deemed "plus-size" (when in reality they are not). I am 5'3" and have always had a butt. When I hit puberty at age 12 that's what size the doc said I was and that it was normal. That if I stayed that I was fine. After having my daughter at 23 my hips stayed a 14. The bones did not "swing back" or whatever they said.
ReplyCry me a river "waif". It's all still geared for you so get off your damn soapbox.
Let's not forget that the primary objective of the retailer is profit. Why then, if they are seeking profit, would they gear their clothes to a minority (sizes 0-4)? Would they not choose instead to "edit" their sizes a bit so that a woman who is normally a size 12 is now a size 10, gets a little confidence boost, and decides to buy that garment? And the reason you can find hardly anything above size 14 is because that size 14 is probably not a "true" size 14, but actually a size 16 or maybe even 18, and the sizes have been tapered down to increase profit.
ReplyI think it benefits the somewhat overweight the most. The size 8-12 in today's sizes. As a size 2 in today's sizes, what should be about an 8, maybe a 6, I think if vanity sizing hasn't occurred... it's hard to shop!!!
I wish it was just standard. Waist measurement or something. I'd be happy wearing a size 26 jeans, if I could know one brand equals another brand! Can't do that now.
ReplySizes are BS, honestly. They should really go by waist or hip measurements like guys do.
Reply