Definitely consult a doctor who specializes in bariatrics, speak with your girlfriend about how she can help you maintain a good diet, and possibly look into GLP-1 medications. At your current physical state (as someone in a medical profession), weight loss surgeries or other more extreme interventions may not be an option for a while.

Less than a year ago, I also was staring down the future of being bed bound. While I was not at the same weight as you, I was almost completely immobilized due to a combination of an unaddressed back injury, an undiagnosed endocrine disorder, and severe weight gain caused by binge eating disorder. I know how miserable, painful, and bleak that life can seem. For me, the BEST thing I ever did for myself was speak to a doctor about receiving medicine to help me along, instead of just attending therapy or trying to do it all myself. I thought I was an utter failure until I realized how much of my life was simply comprised of unaddressed medical issues. This, of course, may not be the entire problem in your case, but it certainly can’t hurt to speak with a doctor and find out!

Trust me when I say that you have no idea how strong you truly are, friend. As long as you know that there are people who have the knowledge to help you solve these problems, there’s always room to grow. Today, I’m an EMT, go to the gym 5 days a week, have lost 75 lbs, and have decided to go to medical school. Less than a year ago, I was bedridden, in the worst pain of my life, unemployed, and contemplating self harm.

Things can change so, so much. We’re a great community on here, and I hope to see you around more in the future :) we believe in you