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[quote=Anonymous]My sister has been overweight for around a decade, I'd estimate that she has been about 200 lbs (she's 5'1) over the last couple of years. A family member just shared some photos from 2 weeks ago and my sister has clearly gained even more weight in the last few months, which I did not notice during our occasional FaceTime calls. She has clearly become morbidly obese, perhaps in the range of 240+ pounds, and I was stunned and worried to see her like this.

I know that logically, the appropriate course of action is for me to say nothing. And not even "try to be helpful" with supportive suggestions etc. I should MYOB as the right thing to do, so I will. But I'm worried and somewhat surprised she would let herself get this much overweight, so I'm wishing I could help her get to a healthy weight, and I'm looking for advice on how to channel these emotions instead of acting on them. I suppose when I'm Facetiming her in the future, I just need to smile and act as if nothing is amiss, even if I feel it's fake on my part.

As far as I'm aware, she has no separate health issues.  Her family life and her job, as far as I am aware, are stable; kids are teens.[i]It just seems like she has gotten to a point where she is powerless to help herself[/i], which is another part of what stuns me--she has typically been quite put together.
Sadly, one of our wonderful parents died a few years ago from complications due to being overweight (was very overweight for 20+ years). I just do not see things going well for my sister from here (if nothing improves much) and it saddens me.

I expect some people will flame me (this being DCUM) for being a body-shamer, but I don't have any issue with celebrating full-figured people.  Rather, I have seen firsthand how being very obese takes its toll on someone's health (in so many ways...including leading to a somewhat early death) once they are middle aged and older. [i]It feels so preventable.[/i]
Looking for suggestions on how to process this, since I really don't want to be discussing it with other family members, and I'd feel gossipy if I spoke to my friends about it, I guess. So I am hoping people here might have useful insight/perspective. Thank you in advance.
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