Looks like the typical 'slow' and steady disheveling that happens when you're over 21 and you still think a diet of fast food and ultra processed food is the way to go, you can count calories and remain "skinny" but you're still going to thoroughly fuck your body in other ways, one of the biggest ways is that you are going to consume *way* above the normal amount of sodium you normally should, and something you will notice with this (because people in this group in particular are too young for generalized vessel damage to start showing) is that they'll inflate in odd ways due to water retention.
On top of this and assuming the absolutely horrible (for his age) hairline pictures aren't slightly shopped for exaggeration, that also points to a trash diet, as it will fuck both with your endocrine system and scalp/skin both to produce levels of hair loss that should not be manifesting before you're in your late30s/early 40s; I would assume telogen effluvium moving things along could also a factor as I imagine being told by your orange daddy that he doesn't even know who you are and then being disowned by your nigger daddy in a short time period would cause quite some stress.
You can also tack the bulimia on top of that, they aren't mutually exclusive, nigger is going to end up beet red, with gout and rocking a skullet before he's 30.