Though Oprah looks confident as hell, she still struggles with loving her body. In a new interview with The New York Times Magazine, Oprah talked about the body movement, saying she doesn’t understand the idea of accepting one’s body at any weight.

“This whole P.C. about accepting yourself as you are — you should, 100 percent,” she said. “[But] for your heart to pump, pump, pump, pump, it needs the least amount of weight possible to do that. So all of the people who are saying, ‘Oh, I need to accept myself as I am’ — I can’t accept myself if I’m over 200 pounds, because it’s too much work on my heart. It causes high blood pressure for me. It puts me at risk for diabetes, because I have diabetes in my family.”

She also said she doesn’t care if she’s never skinny again, so long as she has control. On Weight Watchers:

“It’s a mechanism to keep myself on track that brings a level of consciousness and awareness to my eating. It actually is, for me, mindful eating, because the points are so ingrained now,” she said. “In the particular moment in time that I got the call, I was desperate: What’s going to work? I’ve tried all of the green juices and protein shakes, and let’s do a cleanse, and all that stuff. That doesn’t work. It doesn’t last. What is going to be consistent, keep me conscious and mindful?”