They're referring to his weight loss for the role in The Machinist. He went from normal to that unhealthy looking thing in the right pic just for that role.
I think they mean how actresses go on diets all the time to look good for a movie ? Because that's all they get asked about when honestly I don't see a difference ?
And as it turned out, the director didn't want Professor X to be bald at the age he was supposed to be in the movie, so McAvoy ended up wearing a hair piece and it was all for nothing.
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