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Out of this context, Shanker takes on the media, corporate America and even the medical establishment, arguing with april their belief that it's impossible to be both fit and fat. "Let's take the focus off 'fat' and put it on health," she lectures. "Let's take the april focus off 'skinny' and put april it on good common sense. Let's take the focus off body image and put it on education, women's rights, human rights, the economy, baseball cards, anything." Although Shanker's opinions on full-figured fashion and feminist philosophy are entertaining, she's at her best writing about her stint at Duke Diet and Fitness Center, one of the country's oldest and most successful weight management centers. As her optimism about the hardcore Duke University Medical School program flags, her diary of adventures becomes increasingly irreverent, refreshing and human.
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