long-term effects
if you want to see how she got that way (and how enormously fat she is), search for coldnessinmyheart. i'm not going to directly link because apparently tumblr's been taking down her selfies.
temporary sauce - get it while it's hot!
but seriously on the fatness. it's remarkable how little lean muscle mass she has. imagine how frail and skinny she'd be without all that fat. now throw a hundred+ pound weight on that frail, skinny girl and there you have a perfect illustration of how awful obesity can be on the body.
and on the off chance she reads this, if you're will to do that to your body, why not give weightlifting a try? i assure you, it can be quite painful if that's what you're after. plus, it's actually good for you so your doctor/family/psychiatrist won't mind!