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“Fat head” may not be an insult
Whether or not that term is in an insult depends on who says it and the context. Maybe when it is hurled at a person viewed as arrogant (e.g. a person who thinks they better censor the news you see because they are smarter than you are) like the one above, maybe it is meant to offend. Sometimes a fat head photo again like the one above (maybe seen in a neighborhood flier or work newsletter) or a comically narrow head may just mean that the editor doesn’t know how “aspect ratio” works in their word processor. On the other hand, if the person saying “fat head” understands physiology, they might mean it as a compliment because the brain is about 60% fat. Even more surprising is that 20% of the cholesterol in the body is in the brain. (Note, poor maligned cholesterol is also what the body uses to make lifesaving vitamin D.)