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Comedian Ian Karmel, with help from his 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.. "As charming and funny as it is poignant and thoughtful." - Roxane Gay, author of Hunger: A Memoir of (My) Body. Ian Karmel has weighed eight pounds and he has 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 roller coasters, about fat jokes and Jabba the Hutt, about crying in the Big and Tall section and the joys of being a sneakerhead, about prediabetes and gout, and about realizing that you actually don't want to eat yourself to death and hoping it's not too late.