What triggers the protagonist's disappearance?

She overhears the basketball star's friends mocking her weight after they sleep together.

How does she return to his life?

Six years later, she reappears with a surgically altered face and a new identity.

The Billionaire Loved Me at 200 Pounds

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The Billionaire Loved Me at 200 Pounds — A humiliated woman reinvents herself and confronts the campus star who ridiculed her.

After a night with a celebrated college basketball player, a young woman overhears his friends mocking her weight outside the bedroom door. The shame drives her to vanish for six years, during which she undergoes surgical reconstruction and adopts a new name. She returns unrecognizable, crossing paths with the same man, who now pursues her intensely without realizing she is the person he once humiliated. Every encounter forces her to navigate his growing desire against the secret history that could destroy everything.

Quick answers

What triggers the protagonist's disappearance?: She overhears the basketball star's friends mocking her weight after they sleep together.
How does she return to his life?: Six years later, she reappears with a surgically altered face and a new identity.