Cosmopolitan’s U.K. October issue — available this Friday — features on its cover a provocative photo of tattooed model and body positivity/fat acceptance activist Tess Holliday.

She is a morbidly obese woman who is no stranger to the fashion world, as The Daily Wire reported.

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Holliday took to Twitter to express her feelings about the cover on Wednesday, noting that it would have changed her life had she seen a body like hers on the cover of a women’s magazine when she was a young girl.

“Phew, I’m literally a COSMO GIRL!!” she also wrote. “Can’t believe I’m saying that!”

Responses to Holliday, even before the appearance of this Cosmo cover, have been all over the map.

While some people laud her bravery and her commitment to promoting fat acceptance, other people have expressed concerns that glorifying obesity carries the same risk as glorifying overly thin models.

Those who support the fat acceptance movement claim that being obese is not necessarily unhealthy (they’re clearly not doctors or nurses) — and they say it is not possible to accurately gauge a person’s health merely by looking at the physical body or at the numbers on a scale.

Expressions of concern, particularly those targeting Holliday’s health, have been met with a very cold reception.

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Such expressions have been cast as “abusive,” in fact, by multiple celebrities, social media users, and media outlets.

Those expressing such concerns have been mercilessly shamed for it, including Piers Morgan, who had this response to the announcement of Holliday’s  appearance on the Cosmo cover.

Holliday responded on Twitter to those expressing concern.

She referred to them as “horrible people” who are leading “small-minded” lives.

She also mentioned that she was an American, and that as such, people needn’t worry about her being a “burden to the British health care system.”

In the interview it did with her, the Cosmo article gushes, “Tess Holliday is everything the fashion industry needs. She doesn’t conform to the (metaphorically and literally) narrow standard of beauty that’s been set by society, she’s a role model for others who have felt excluded in this way, and she’s downright honest.”

The 33-year-old is reportedly 5 feet 5 inches tall, weighs about 280 pounds, and wears a size 22.

That’s according to Entertainment Tonight’s reporting a few years ago.

Related: Skinny Shaming Is the New Fat Shaming

She has also said in the past, “I was angry and sad that people kept saying, ‘You’re too fat to wear that!'”

Michele Blood is a Flemington, New Jersey-based freelance writer and a regular contributor to LifeZette.