He looks like they just pulled the hook out of his mouth. I cannot imagine someone in his position looking/being so unhealthy.
I am legit 258 in this pic at 12-14%. I am a hair over 6'3". Trump was standing next to Trudeau and Macron and is visibly shorter than Trudeau who is 6'2". Trump is 6-6'1" and easily 300 in the above pic. https://www.elitetrader.com/et/threads/hit-my-pr.340285/
Trump's posture is so bad that his kyphosis is likely degenerative. Dude will be in a wheelchair at Leavenworth.