You also talked of the cloths well they can be easily changed also but should you have too
not really. i don't actually dress how i'd like to at all actually. i just do the best i can - somewhere between comfort and what's socially acceptable. it's not like i go out in fancy dress or anything. my clothes just don;t fit me well and that's mainly sensory stuff.
being fat is unhealthy as well. having AS and being trans might be too in a way, but neither of those are choices. the way i am is actually more healthy for me than to change to suit other people. whereas fat people are being fat because they eat too much and are too lazy to exercise
they get in the way a lot as well, and are often very slow. not to mention the effect it has on the NHS and society in general. especially when fat people have children