This is definitely a relapse from a decade ago
She was worryingly thin at the 2015 Grammy's nearly a decade ago. People had concerns then.
Now she's right back at that weight or below it. She has returned to her 2015 Anorexic physique. Truly terrible. She's even worse now then back then and back then she was a toothpick. She bounced back due to youth but now that she's older and also using Ozempic and presumably drugs she's much more at risk for fatal complications.