Monday, May 27, 2019

Please help me guide someone in weight loss - intellectually disabled BIL is 564lbs

Like the subject says, my 23 year old brother in law is now 564lbs, maybe a little less after a hospital stay for sepsis and cellulitis. His caregiver is my mother in law who doesn't really have the capacity to understand nutrition, she struggles with her own health, and can't make sense of counting calories, carbs, sugars, etc. However she is willing to follow explicit instructions, so please help me make them! We've been meal prepping since he left the hospital, trying to keep sugars and carbs low and at 1800 calories like he was served in the hospital, but we're winging it and the internet is only getting us so far. He is newly diagnosed as diabetic and is currently on insulin. Additionally I'm trying to get him government services - he's been a bit of a recluse and refused to leave the house so they dropped his funding but we've reapplied and are going to work to find something he enjoys and get him out and about. We've found the medical staff try to be helpful, but they just tend to point us in the direction of general resources, not help us form a comprehensive plan. So please help! Thoughts on nutrition and what to count? Is 1800 calories really enough? How to lose weight when starting this large? Things to look out for? Anything would really be appreciated!!

submitted by /u/cautiousredhead
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from loseit - Lose the Fat http://bit.ly/2W6St8m

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