I agree that Mixon's character being overweight shouldn't be the forefront of every episode, but if you consider the original name of the series, you would understand. The show was originally called "The Second Fattest Housewife In Westport"!
Since so much of the show is commentary that goes on inside her head, and how she doesn't fit in (in many ways, she is a free spirit), that is why so much is on her weight - it is what she is thinking about (along with her kids). The writers are putting more things above her weight (really her character's own self image) in the last few episodes. It is sad that compared to the size 00 (that is double zero) mothers, she is "fat". It is all a competition, since the other parents have people to do everything for them and their children. The Otto's do things for themselves, as a family, and that should be the real takeaway.
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