I believe insults are inherently hierarchy reproducing, and criticism (which can still be quippy) should always be as direct as possible rather than, for example, going after their appearance or other unrelated aspect of themselves. Otherwise you risk perpetuating the various normativities oppressing the people you care about.
For example, Trump sucks. There is a lot to criticize him for. But his being overweight is not what makes him a fascist, a horrible person, or otherwise deserving of criticism. So using a fatphobic term, even when referring to Trump, is only going to perpetuate the idea that being overweight is a negative quality. And no number of people calling him a fatphobic term is going to stop him.
This article by Dr. Devon Price details how many conservative or otherwise problematic women are criticized due to showing signs of aging, of an eating disorder, or for trying to hide those signs. It points out how those criticisms hurt people who also experience those signs. One particularly powerful line to me was about how Devon has insecurities over their signs of aging and how much it hurts to see the progressives around them calling those same signs a divine punishment upon the conservative leaders who have kept Devon closeted for so much of it's life.

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