If I was in a relationship with a girl and she put on that much weight, I'd have issues with it but I believe I would be patient and supportive and do everything I could to help them improve their lifestyle.
In the past I've noticed that speaking about the benefits of diet or exercise casually in conversation can help someone gradually change their habits. I have also made jokes about certain fast food outlets being disgusting etc, any by keeping it light hearted that seems to help.
("Ahh ... large mc Coronary meal eh?")
Not showering is definitely a deal breaker. My plumbing has an issue at the moment and I had a cold shower at 7am :P (but then again it is summer) hygeine is definitely important to me!
In a case such as Holistic described, theres no way I would abandon a girl I was already in a relationship with or married to, who had problems with appearance due to illness or something beyond their control ...
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