ABSOLUTELY NOTHING
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I would likely NOT comment on someone's weight loss for fear of embarrassing them or bringing up something uncomfortable. (When I got divorced, I dropped almost 30 pounds over a few months and a lot of people asked "What diet are you on?!?!?!" I replied, "Not one I'd recommend." And I wouldn't. It was pure *kitten* going through that.)
Now if I see someone who was heavy, who lost a significant amount of weight, I'd just say--honestly--that they look wonderful. Which they could if they were heavy as well. I'd compliment the outfit, or if they looked happy/glowing, whatever.
In the end, it's not about other people anyway.3
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