bComedian Ian Karmel, with help from sister Dr. Alisa Karmel, opens up about the daily humiliations of being fat and why it's so hard to talk about something so visible.b pIan Karmel's weighed eight pounds and he's weighed 420 pounds and right now he's almost exactly in between the two, but this book is not a weight loss book. It's about being a fat person in a skinny world. It's about gym class and football practice about chicken wings and juice cleanses about airplane seats and rollercoasters, about fat jokes and Jabba the Hutt about crying in the Big and Tall section and the joys of being a sneakerhead about pre-diabetes and gout and about realizing that you actually don't want eat yourself to death and hoping it's not too late. pThis book also includes a What Now section from Ian's sister Alisa, who herself cycled through so many fad diets that she eventually pursued a master's in nutrition and a doctorate of psychology, with the goal of changing the contemporary narrative around f