She was cooking full sized plates of food for herself in that van and that’s fine for anyone who doesn’t have a problem, but she‘s clearly stretched her bypass to be able to take in that much food in one meal. Like everyone has said, she never addressed her food issues in the first place and she’s obsessed with crappy food. Around a third of patients regain their weight after a bypass, so it’s not an easy fix. She can afford therapy to help address the issues, but I bet it’s nagging in her head 24/7 that she may have really fucked up the op. Yes, it’s her own fault, but it’s still sad.