She was thinner
Characteristically, Victor construes Elizabeth's state of health in reference to himself. At the age of twenty-two she should not be so beyond her prime. Clearly, worry over the last two years has taken its toll. Although Mary Shelley maintains her undeviating focus on Victor, this momentary description illuminates the cost of his obsession and detachment from Elizabeth on her state of mind and body. This is as close to an inner life as Elizabeth ever manifests.