Take a photo of a barcode or cover
The premise is very interesting. The safety of a tight-knit community versus the strict boundaries of the community. The pursuit of extreme deformities of the physical body parallels the extreme deformities of the relationships between the characters. The former causes one to cringe in guilty pleasure during the first half of the book, and the latter causes one to cringe in disgust in the second half of the book. The book does start to peter off after the first two acts, where the style seem to completely change. The kinetic story-telling came to a scrambling halt, slowly replaced by the languid style of a suspense.