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Have a hand in your own treatment. I have nothing but praise for our doctors, but I think they could help us better, and we can help them if we work together.

There's no way my body can be fixed, but what we can hope to do is keep all the deteriorative processes as minimal as possible.

I don't think it's ungracious to seek cosmetic help - it has crossed my mind from time to time, and I have been tempted. But it's too short-term. Once you start down that road, you have to keep going.

To someone who is not currently on anti-depressants, I would suggest trying other treatments first - for example, psychotherapy.

I thought that plastic surgery was easy, but it is really serious and is not something you want to mess around with.

The body changes shape and there's nothing you can do about it.

I think the best way to get over your body issues is to just flaunt your body at every opportunity.

I attempted various types of plastic surgery, minutely but enough to stave off this encroaching middle-aged body. And every time I did, something went wrong. I felt misshapen, just not natural any more.

You can be diagnosed and treated early. And there is hope for the future.

I'm very much a typical midwesterner, and I don't think the condition is curable.