Unpopular opinion, but: I think it does look like she's lost weight in her face.
I mean, don't get me wrong, gorl absolutely looks like she's about to shuffle off the mortal coil, but more of the bottom of her neck seems to be visible here. It wouldn't surprise me at all if whatever this illness is that has her feeling so bad is helping her lose a few pounds and that's why she's talking about weighing in right now. She did it before didn't she? That January she as super sick? (Umm, I realise that may not be specific enough, when is she not?). It would be the perfect opportunity for her to say 'hey hadurz, look I was telling the truth, I have been losing weight this whole time' in regards to the supposed nov/dec dieting she claimed to be doing off camera.