If a person is obese before becoming a vampire, they'll be obese after being turned. The turning process doesn't undo/fix being overweight. It does fix/hide damage and deformities ... such as:
1. Bella's broken spine. (When she dropped her cup of blood and bent too far to try and catch it before the blood could get all over Esme's white couch and carpet.)
2. Esme's crushed body. (From jumping off of a cliff.)
3. Emmett's mangled body. (From a bear attack.)
4. Rosalie's damaged body. (From being beaten and raped.)
5. James' facial acne scars. (Bella noticed them when he got close up in her face during his attack.)
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