That's awful. 380 at 5'2" is not in anyway healthy, especially if she's still smoking and drinking alcohol. She doesn't want to loose weight, that's her choice but if she doesn't change something she's going to be very unhappy when she hits her 40's, if she lives that long. For me at least the 40's were a time when things started to go wrong, vision got worse, blood pressure shot up. If she doesn't already, she will have high blood pressure very soon.