On the side she did hold a job in the university library in San Francisco, obtained an MFA, had an boyfriend who hadn't had sex with a year, and developed a network of caring friends. After her weight went north of 300 pounds she decided to have the newest model of weight loss surgery. The book "Stranger Here" is her amazing memoir.
Any current or former fat girl anticipates a lot of that story, particularly the magical thinking of expecting all problems to be solved once we are thin. What we know, of course, is that things can get worse. For example, we have more and better choices and those can trigger profound angst.
However, Larsen goes way beyond all that in tracking herself between two identities: Fat Girl and Normal Person. After all, she is a writer. Also, she has an addictive personality - loves booze, too - and those sensitive souls tend to interesting takes about the world. Just go to a 12 Step Program meeting.
Along her journey from Fat to Beyond Food, Larsen gets a better job, finds a lesbian partnership, stabilizes weight as not super thin, and find the coping tools which make addictive patterns unnecessary.
"Stranger Here" is a useful read for anyone contemplating change.