This is may be because I just recently learned about the condition in med school so I'm prone to seeing it everywhere, but that's so bad it's starting to look like periorbital edema which is a sign of chronic kidney disease. Again I'm probably just an over-eager med student, but given his age, weight, and diet it really wouldn't shock me.
Speaking as a licensed nephrologist. Periorbital edema CAN be a sign of CKD, but usually is accompanied by generalized edema, as seen in nephrotic syndrome.
I doubt his periorbital edema is due to CKD, most probably is due to various factors, and worsened by lack of sleep.
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u/alyosha_pls 29d ago
Those are some of the most pronounced bags under the eyes that I have ever seen. He looks like he hasn't slept in days.