Judgmental as the world can be when a person is not the size that is expected of them, it cannot be denied that there are usually physical limitations on what an individual can do when they reach a certain number on the scale. One of the sacrifices of being beyond a certain weight is that some things that would otherwise be considered normal become out of the realm of possibility. They are neither practical nor safe.
While losing weight is a battle that is much easier said than done, after a point, it is the only real solution for a person who is missing out on the things that they care about because of their size. Sometimes, the motivation to do this doesn’t come until an unpleasant wakeup call. Even then, many are reluctant to admit that there may be an issue, and it isn’t just themselves who they affect with that.