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Tell her the truth (as I understand it you don't think she's fat), but also ask why she's asking in the first place. Offer some support if she wants to lose some weight.
I think open and honest discussion is the best approach here because now you're jus guessing what the real issue is.
I think it's due to comments from people. She was underweight before because she hardly ate anything. She's now much better than before but people keep mentioning how she changed. It's really dumb when people keep commenting about your appearance, but I gets to her sometimes. The same people were telling her she needs to gain weight before. ( we are in a developing country where these comments are sadly so normalized)
I think make sure she knows you're on her side, and that you don't value the opinion of those people. "I just don't understand why they are so critical of your body and feel the need to comment on you all the time. You're a healthy weight, and you look incredible, its just bizarre that they behave that way. What is their problem? I wonder if it's jealousy, or maybe they've been brought up to be insecure about their bodies, such a shame to be like that, I'm glad we're not like that" etc. Keep trying to reinforce that this is their issue, not hers.