I don’t see any normalizing of obesity. I see a lot of empathy for people whose circumstances have led them to this point. I see a lot of explaining why someone may actively choose foregoing physical health for another reason.
You can support people who are in a position, even by “their own hand” without saying it’s cool, or normal, or anything. You can give just a little back to these people, to hopefully help move them back towards an actual normal living without saying where they are now is good or healthy. That’s what I’m seeing.