Absolutely. I didn’t care I was a heavier kid, until my grandma put me in curves (old lady work out center). Then came the anxiety, hyper focus, and eating disorders. In the long run it has done more damage than good. My brother and I both thinned out as we got older (although mine was likely due to being super strict with my calories) but the damage to my teeth/esophagus from making myself puke was permanent.