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Originally Posted by billylove
Yes, but don't you get to a point where it's hard to move and makes it more likely you will keep going in a downward spiral of fat before your body suffocates itself?
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If you reduced your caloric intake to an acceptable level, some of the weight would start coming off on its own, no exercise needed. Then as more and more weight came off, you could slowly increase the amount of movement, thus burning more weight. It isn't easy, of course. When you've been bedridden for any length of time, your muscles start to atrophy, so you aren't going to be doing much moving anyway. As you lose more of the weight and are able to move more, you can start working your muscles back into shape, but it is by no means easy.
There have been a few (VERY few) cases of people in these morbidly obese situations coming back from the brink using diet, willpower, and exercise. God knows there aren't many of them, becuase that's one hell of a mountain to climb, but they do exist.
That said, you're going to have lasting health issues. By the time you reach that point, you're almost certainley diabetic, your kidneys are probably shot, your liver is extremely fatty and not functioning all that great. As previously said, your muscles have atrophied, your gastro-intestinal system has probably been abused to highly dangerous levels, you've probably got gall and kidney stones, and your respitoary and cardiac systems are probably barely functioning.
So yeah, while it is possible to come back from this, the number of things that are caused by it means that most people won't ever lose the weight, at least not naturally. But lipo is dangerous as well, because your ability to heal is almost non-existent when you're that fat, so having surgery can (and often does) result in a ton of terrible side effects.
Lesson: When you've reached the point where stores no longer carry your pants size, re-evalute your life. At that point, there's still hope. If you keep doing what you're doing, however, you're fucked.