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There's no way anyone on the 'outside' of the issue could really tell you hwat hormonal/mental/general health issues may come out of her neglecting her body. Only her doc could really give you an informed opinion about that.
What physical problems is she having? The problems that are typically experienced are extreme weight loss due to too 'much' being bypassed and loss of nutrients. Gaining weight is not usual and suggests that she resumed her previous eating habits. And lack of exercise doen't help, unfortunately.
My son is 3 years old.