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Maintaining a healthy weight
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Honestly, like they said, even coming from a place of concern, it's not ok.
Nobody is about to get their first insight into having a mental health condition like an eating disorder from comments on porn that they've posted. It's just not a reality. Anybody who gets those comments online has already heard it all before, and knows how people feel about it.
I would say, if somebody is actively promoting an unhealthy lifestyle by glorifying bulimia or undereating, then it's a good time to speak up so others aren't influenced, and to make it clear that promoting those things can lead to serious mental health issues.
Telling someone they should gain weight, lose weight, get a boob job, go to the gym, stop going to the gym - it's all totally inappropriate, and potentially very damaging.