Struggling to shift the weight with health problems - advice wanted

Hi all - Long-time yoyo weight loser/gainer looking for advice at a pretty low moment to be honest.

I am female/ mid 30's and currently around 180lbs. This time last year I was about 150lbs, which is over my preferred weight of amount 140lbs, not where I wanted to be but in a range that was cope-able with (just about). This last year has been hard and so 30 more lbs piled on and I’m now at my heaviest weight ever and feeling very uncomfortable in my body now (I'm pretty short so the weight carries). My clothes don’t fit me, everything hurts more I have even less energy than normal and I’m sure the extra weight is (at least partly) the cause.

Last year I started on a new medication. I'm pretty sure that was the cause of at least some of this pretty dramatic gain. I’m no longer on that medicine but the weight gain has persisted. I have managed to put a stop to the gaining, which is something. But I’ve tried to kick start my weight loss several times over the last few months and nothing is happening.

I am a pretty unwell person. I can’t do much in the way of exercise (although, hands up - in the last year I have stopped doing what little I was doing before and now seized up even worse/ in more pain so not helping myself greatly).

I am also on a lot of medication including painkillers and a daily steroid, which I don't think helps anything. Finally, one of my health issues causes me to struggle with what I can/ can’t eat. And one of the things I can’t eat much of is fibre! I know a lot of the advice is to fill up your plate with good things like veggies and whole grains but I really cant do that much without causing myself real issues.

I don’t over eat hugely. I know I do a bit so this isn’t an excuse. But I think one of the problems is that my base rate is just really low so I really do struggle with creating a big enough deficit during the day. I also do snack more when I’m tired and in pain - which I think at the moment is a bit of a vicious cycle too, because I’m sure that the extra weight is causing more tiredness and pain.

So yes, basically I’m looking for any advice in general really but also more specifically from anyone who has dealt with similar things regarding struggles with health issues and losing weight.

Thanks for sticking with me!

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