I'm pretty sure I gradually got big all over when I was younger, given how I never used to be able to wear, say, watches, smaller necklaces, normal-sized rings, etc. throughout junior high and beyond because my wrists, fingers, and neck were simply too big. I got my class ring when I was only 14 but weighed 250 pounds, and it was a size 10! When I was in the 250-range 2 years ago, I was wearing a size 8 on the same finger.
I now have what I'd consider "normal" sized fingers, wrists, and neck now that I've lost weight, but I still have a 44" inch stomach. I'm quite sure I was never this out of proportion before! My ring size is currently a 6 1/2, the smallest it's been in memory.
I'm now a marshmallow on toothpicks.
I'd wager that my stomach is literally 2-3 clothes sizes bigger than the rest of my body.