How to Do It is Slate’s sex advice column. Have a question? Send it to Stoya and Rich here. It’s anonymous.

Dear How to Do It,

I am a 60-year-old man. I’ve met a wonderful woman my age who is smart, funny, attractive, and independent. We get along really well. There’s just one problem: Her body.

She is severely underweight. She mainly eats protein bars and works out for several hours a day. Her arms are extremely thin, and her breastbone protrudes. It’s making intimacy difficult. I can’t seem to get past it. What do you suggest?

—Trying Not to Be Judgmental

Dear Trying Not to Be Judgmental,

First figure out what exactly is making intimacy difficult. Is it sheer aesthetics? Is your fear that this person is living an unhealthy lifestyle distracting you? What is the real

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