I was actually wondering if his gender status was the cause of him being in hospital, maybe HRT was his treatment after all and he's still a fat lunatic.
He's probably feeling depressed after finally realizing that even his owns delusions can't save him now
His frown could possibly be him finally facing reality and accepting the fact that universe does not simply revolve around and that type of feeling is too painful for him to bare.
Chris has always had bags under his eyes, mostly due to his pedo glasses, his poor sleeping habits and bad diet intake.
That's actually true, a close friend of mine had a bad breakdown from depression and all they got to watch on TV in the hospital was NCIS. I wonder if hospital staff are fans?
Mental health medications can do that, but it is also possible to have both psychiatry therapy and hormone therapy at the same time, usually the institutions can provide that by their onsight physicians.
I'm not surprised, if you watch any of the prison documentaries you'll see the meals hardly contain any nutritional value of any kind, most of it is recycled or processed like cheap fast food restaurants.