With respect to Holy Communion it is up to the communicant to decide whether they are in a state of grace and worthy to receive the Eucharist. Each one of us makes that decision.
In New York if you weigh under 200 pounds and decline so much as a cookie at a co-worker's party women will flock to your side assuring you of your appealing physique. This is how skittish we are about the dangers of anorexia and the pressures of body image.
