Her doctor categorized her as overweight when she was 5 years old. Her grandmother always introduced her as the “chubby one.” As an adult, she vacillates between moderation and binge-eating, restricting food some weeks, and gorging on cake and ice cream during others. “It’s only when my pants are nearly impossible to button that I force myself to lose weight,” writes the letter-writer who calls herself Body Negative. “And then the pattern starts all over again.” The Sugars discuss and share their own struggles with body image.

This episode was originally released on June 11, 2018.