Marie Osmond has dropped an astonishing 46 pounds since starting the
NutriSystem diet two years ago. However,
Osmond says she's still dealing with the pain of past body image issues and struggles to maintain a healthy outlook when it comes to her physique.
"Our society makes women feel that they should have a body of a skinny little boy," she tells
PEOPLE. "We put on five pounds, and we think we're fat