Twenty-seven-year-old Cleo Berry of Los Angeles says he was “beyond shocked” upon discovering that a photograph he posed for several years ago in Manhattan had turned up on the Internet — but showing him without one leg. The photo was digitally altered to make it look like Berry’s right leg is missing. It appears on an ad warning that growing portion sizes can lead to diabetes and amputations.

Berry tells that while he supports the city’s efforts to educate people about the dangers of diabetes, he disagrees with the use of a manipulated image of an able-bodied person, instead of an image of a real victim.

City officials have defended the practice as common in advertising.