I remember during the campaign when doubles were being discused a lot and some woman who looked very much like her said she was sometimes used as a double.
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I remember seeing her a several times before the debates, and thinking how tired and old she looked. When I watched the debates, I was astonished to the point of wondering if that was really her - incredible how different she looked, but I thought it must be professional Theatrical makeup artists at work.
Theatrical makeup artists can do a lot, plus fillers and so on. Fore sure it was her during the debates. She obviously has a lot of health problems. What to speak of being evil, that probably takes the stuffing out of one sooner or later too!