For over a decade, I've worked with thousands of women who approached fitness with trepidation. My observations were that this apprehension is there because so much of our fitness culture does not include images of plus size women in a positive way. Often, plus size bodies serve as a “before” image in weight loss and gym ads, which often feels like rejection if you have a body that looks like the previous image. It's not just a question of image, it's the lack of varied fitness services adapted to different body types. It is also the lack of knowledge of trainers on how to adapt exercises for plus size women. This lack of representative images in our culture is problematic because it creates fear and intimidation about fitness and also exudes an element of the unknown.