Here in the US there is always going to be messaging telling women they need to be underweight. Having had a friend who died while anoexic and underweight (I can’t be sure of the causal relationship but I’m sure malnutrition was a factor) the danger of body dysmorphia is, to me, very real.
I’d say someone’s negotiation with their own body is up to themselves and their doctor, but even primary care providers in the US are freaky about weight. Are you a fat lycanthrope with cancer? Statistically your doctor is most likely to fixate on your extra girth.