Consider the scenario where you meet a man. You know his name is Bradley (either through mutual friends or whatever), but he introduces himself as Alex. You can call him Bradley, and it would be technically correct, but it would be slightly rude when he has explicitly given his preferred name as Alex.
Being fat is a choice the vast majority of the time, and I have a huge bias against big people.
I used to be fat (250ish lbs (110ish kg) at 5’8"ish (172ish cm)), and as much as I would like to blame my shit on anything else, the person feeding me, the person sitting at the computer for hours, the person actively avoiding all physical activity was me and no one else. After I got diagnosed with some weight related shit, I turned my entire life upside down, am at a much healthier 150 lbs (68ish kg), and feel so much better, both physically and mentally.
I’m aware of my bias, and I make every active effort to counter it in my actual dealings with bigger people. Especially because there are certain circumstances, however rarely, where it may not actually be their fault. But I’d be lying if I said my initial impression was anything except “God, what a lazy, fat fuck.”
Edit: Added metric units
Die a slow death from hyperglycemia once my pump runs out of insulin.
Infect the indigenous population with some god awful pathogen they have no defense against.
Die to a pathogen I have no defense against.
Die to the indigenous population due to being a white dude in pre-contact North America.
It uh… wouldn’t be pretty.