Not to say BDD isn't over used, but I think it is possible to have it. For years because of my being a runt during formative years, and painfully thin, I have had skinny man complex. My little beta friend who considered himself "Alpha" would take advantage of this, and tell me how thin I looked, like 155 lbs, etc. Well, once my insecurity got the better of me, and I asked my Mom to photograph me in front of a male mannequin on a vacation overseas. It was late at night, and it was in a storefront. I looked at the thing, and thought, "If only I could be that big". Well, it turned out I was bigger. I also saw a pic she took of some touristy Bavarian actors when I happened to be nearby. I considered them to be much larger than me. The reality was I was much larger than them. Your insecurities can stem from residual self image. Being 145 vs 210 is not the same, but you can walk around feeling like 145 when you are 210. Unfortunately in my case I might be ok frame wise, but I have a whole life history of unsolicited harsh comments validating my facial ugliness. Objective proof. BDD will not come to the rescue there. I guess if you read this, and think it is inapplicable to you, just remember that a lot of bigger dudes can be freaking insecure. I know from a few big guys who lifted that a lot of them had small man complex, and perceptual distortions motivating them. Don't buy the image all guys project, because for some it may be complete front on an emotional level.