I might be totally off but as always this is posted with the best of intentions.
Fat, overweight and seems to have given up on dealing with that…
The old myth about obesity being a choice has been debunked as often as it’s been "proven". For very many eating -> obesity is a combination of psychological and biological factors. My user-name Bigger is partially a reference to my size. I eat relatively healthy and can still easily complete a 10 mile hike in rough conditions, bench +200 and still don’t take any regular drugs to manage blood-pressure or any irregularity. Yet I’m obese, and have been battling obesity since my late teens.
It can be heart-wrenching and demoralizing when you adhere to a strict keto-diet and commute the 8 miles of hilly country by bike, yet at best maybe lose 2-3 pounds. It can be demoralizing realizing you need special stores for your clothes, and limit your purchases to the ones with more than XXX on them…
I get it. Been on the verge of that area and nearly slipped into permanent residence.
Only… my saving grace is that in all aspects I’m healthy. No heart issues, no blood pressure, clean arteries…
My MD pointed out a change in bloodwork though… Something that if left unchecked MIGHT lead to type 2 diabetes. I was put on one of those relatively new often mislabeled ditet-drugs (Saxenda/liraglutide) and in a year I lost over 50 pounds. Still losing weight although more gradually. Maybe 2-3 pounds per month.
The MAJOR difference I experience is that for the first time in decades I feel full after a meal. It takes time to learn how to respond to that, and to realize that after one plate of whatever food you have you might be full. That you don’t need breakfast but can fast to noon, that you don’t need 2 sandwiches for lunch, but that one will do. That you don’t have to snack in the afternoon because that "pain" in your tummy is the pain of being full, and not the pain and fear of starving…
I know he’s dealing with heart-issues, but it does sound like they are aggravated by lifestyle. Nobody chooses or wants to have difficulties buying clothes, tying their shoelaces or wiping their behind. Everyone wants to be happy. Maybe one of these diet-drugs might give him that lifeline to a healthier life?
"If, therefore, any be unhappy, let him remember that he is unhappy by reason of himself alone." Epictetus