(I am guessing your friend is well aware, and either in denial, OR is FUOLLY ware, and does not want to face her medical issues, so is using the booze for an escape, or “suicide by proxy”, if you will.........
That would be “FULLY AWARE” for those of you that ARE capable of typing and watching TV at the same time ;-)
She’s remaining blissfully ignorant and lying to herself.
Excercising, “eating right” etc. Her gut is so swollen!