I hate to fixate on the weight issue, but man this is a slow motion train wreck. That weight distribution is now almost cartoonish. If I didn't know better I'd say there was a cheap fatsuit involved.
In the side-on view you can clearly see a fupa has developed, ironically hiding from view the genitals that have been the focus of his entire childhood. Given he's depressed he's probably not showering enough - imagine the stench of unwashed fat folds permeating the room.
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I really feel sorry for Jazz. But the family are the ones to blame. In a healthy, normal family, being surrounded by supportive family members might help you recover from or at least live with mental health problems. But the Bloshinsky siblings have been taught from childhood never to question or challenge Jazz's thoughts or feelings, so they just end up coddling and enabling him. I'm surprised we haven't started to see Sander posting about the fat acceptance movement and fatphobia.