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Tell her the truth (as I understand it you don't think she's fat), but also ask why she's asking in the first place. Offer some support if she wants to lose some weight.
I think open and honest discussion is the best approach here because now you're jus guessing what the real issue is.
I think it's due to comments from people. She was underweight before because she hardly ate anything. She's now much better than before but people keep mentioning how she changed. It's really dumb when people keep commenting about your appearance, but I gets to her sometimes. The same people were telling her she needs to gain weight before. ( we are in a developing country where these comments are sadly so normalized)
Oh man. That is really rough to deal with. I watched my wife going through what you are and it was really hard on her. I hope you’re taking care of yourself as well as your girlfriend.
I(male, 36) have an autoimmune disorder that really kicked in during my teen years. I hit 172lbs(78kg) at 12 years old and then again at 32. At one point I weighed less than 138lbs(62kg) and I’m 6’4”(192cm). Got some medicine figured out and now I’m 215lbs(97kg), which feels and looks(!!) much much better.
It’s all a bit personal but I know to some extent what she’s going through. It’s really really hard to watch your body change even in positive ways. Hell, I was so malnourished I couldn’t do math in my head for ten years, it’s fucking weird having parts of your brain turn back on and get smarter. She’s probably going through a lot.
I’m not sure I can DM with this lemmy app but feel free to try. At the least I can lend an ear for someone for you to shit on. Everyone needs that!
My best advice, as trite and cliche as it is, would be to meet her where she is at. Talk to her. Find out what’s bothering her. Don’t judge even the silly stuff but remind her to laugh. Remind her that love is about who she is not the skin or body she wears.
She might need to be reminded or shown that not all comments are criticisms. People saying stuff about how she’s changed may be intended to be a compliment rather than a put down but it can be very hard to hear the words the right way.
Also, if you’re in a developing country this has got to suck. One thing no one talks about is god damned expensive gaining or losing weight or just getting health can be. I’ve spent about 2% of my gross income on clothing this year because I put on 25lbs(11kg) and I make around the Canadian median wage. The conflict of guilt around being an expensive person or feeling like crap in your clothes is hard. It feels stupid and invalid but it’s this constant ache of budget vs feeling like you don’t want to be seen. Maybe take her shopping if you can?