I can't stand what I look like, yeah, I look fat, but what do I care?

from Eminem – Going Through Changes Lyrics on Rap Genius

Meaning

He hates looking in the mirror, because he can’t stand his reflection: not because he looks fat (he doesn’t give a fuck about that), but because he hates the person he has become: he was addicted to drugs and “starting to live like a recluse” and he hated himself for it.

Eminem’s life turned bad when his best friend Proof passed away in 2006. Eminem became manically depressed, started taking Vicodin at an extreme rate daily, and eventually stopped making music

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