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Obviously in contexts where you're meant to ask questions it's going to be an actual question, but in casual conversation it's far less common

There's always the opposite end of the pendulum, right?

That's the thing, it's differences and exceptions. Some people CAN'T do anything about it on their own... but then they do what you did and seek help. That's still you taking control of the situation. Recognizing it is the first step, and like I said, the first step is the hardest part. A person doesn't get anywhere by complaining about people having 'stable mind privilege' or 'non-broken leg privilege'
Another thing is, a lot of people are in the exact same position you were in, but did't even need drugs to fix it. A little over a year ago I was suicidally depressed. Nobody was jumping in to help me, the best I got was my parents suggesting drugs. Somewhere along the line I suddenly realized that I couldn't rely on people helping me, or changing other people, I had to change myself. So I kept making small changes, and forced myself to stick to them. I still haven't really recovered, I still have my bouts, but I've made a pretty huge dent in it. And the reason I was thinking about this is because when you mentioned chemicals, sure, you can't will them into existence, but a lot of the time you CAN get them by changing your diet. and I hope it doesn't come across this way, but I'm not trying to say you didn't need to take drugs, I feel you're smart enough to make that decision yourself, rather, what I'm trying to illustrate is that taking control comes in many forms, and it doesn't come fast, but it still takes the person's will to make it happen. YOU made the decision that you needed drugs, rather than to, say, complain about uh... "Self caring privilege"? I dunno. Anyways, my point is that all that realyl changed is you didn't use your will power as a battering ram, but rather you focused it into a new outlet. You still made the change happen.

I should have probably given a little more context to this, it's more along the lines of people encouraging someone when they, say, fail to stick to a diet or something. Or reinforcing there's notihng they can do about their weight when it's NOT something like you talked about. Basically downplaying the risk factor. Like you say you're not worried about getting a heart attack, but you still try to eat better, cut down on sodium and stuff. The number's not really what's important here, but the habits. Like the idea "oh, I'm gonna be fat no matter what, so I'll just eat all these cream puffs"

I know it's tough, but it's also not as hard as it seems. If you're diligent and don't make excuses, it can be almost easy, even if you're not inclined to lose weight through your genes or environment. It's just so much easier to make an excuse, or slack off. That's the main reason I still have a belly, I found 'better' things to do with my time. But now I try to go for a walk every day, and I've been super diligent about it, and I've lsot some weight already and but on a bit of muscle. Taking the first step is the hardest part, and sticking with it is the second hardest.

So many of the odds are in your head though. This is true with MOST things, and something I've slowly been discovering. Very few things are actually HARD to do, but rather we build them up and tell ourselves they are. But a lot of people, myself, and probably you included, would much rather take the easier option and BLAME something. "Oh I can't lose weight because obesity runs in my family" well did you try? For how long? Is that an excuse to not try? Again, exceptions to every rule, but even then, surely you would still WANT to, since cases where you can't avoid being overweight are generally not very pleasant.

It's part of this thin privilege thing, not necessarily that you should gain weight (though I've seen arguments that people who are overweight are happier, kinda in the same way some people argue being gay or trans makes you happier) but there's a lot of praise. It's generally well meaning, under the impression that they're countering all the negativity the person experiences for being overweight, but it encourages what I said earlier, treating being overweight like it's a force of nature they can't control

But that's the thing, if you're not going to put in effort to lose weight, whatever that effort may be, then you need to make peace with it, like you have (and to frank, I have, I just bought 2 bottles of pop lol) rather than take it out on "the thins" or whatever. People shouldn't be dicks to people about their weight, but frankly people shouldn't be dicks to people period, and weight is a controllable enough thing that I feel comfortable lumping it in with other things people are dicks about. If it's such a huge issue for you, then surely the effort it would take to improve on it is worth it? Obviously there are exceptions, people who legitimately can't, or it's just too hard to be worth it, but that's not common enough for me to think it's comparable to something like sexuality, race or gender.

I don't like people commenting on my belly or something, but I feel like this kind of thing is just a handy way to convince yourself that you're somehow stuck with what you have, that you can blame the world for it, and basically drain any self empowerment and responsibility.
I guess the big issue is that whatever the context, being overweight isn't a good thing. Same deal with being underweight. It's not like being attracted to a certain sex or something, it's something that actively harms your body, and honestly not something I think should be defended. Tolerated, definitely, but accepted, probably, but praised? Encouraged? No way

Like a skunk (which I assume is a euphemism for him smoking marijuana)

You need to go into from the start of the series to really appreciate it, I think. It becomes this nice breath of fresh air.