Need to lose a lot in a short time - help?

Hey guys, looking for some advice please?

So I've already lost like 80+lbs, through CICO and lowering carbs.

I'm waiting for surgery that I desperately need, and the hospital just told me I need to lose another 12lbs in only 4 weeks or they won't operate.

So how the heck do I do this? I'm under 1400 calories per day, I'm not allowed any exercise for medical reasons (hello, the surgery will make it possible to exercise again!), but I've lost a lot of weight already, it hasn't plateaued, but I usually only lose 1lb a week these days.

Should I just give up on being as healthy as possible and just do fucking meal replacement scam shakes for the next 4 weeks?

Please advise me, I'm heartbroken because I have poor quality of life until this operation is done, and if I don't have it in 4 weeks, I won't get it for a year or two.

Edit:

Female, 30, height 5'4.

Starting weight 257lbs. Current weight: 176lbs.

Temporary goal weight - 164lbs. Ultimate goal is 140 but I'm working towards that anyway.

Activity level - ha. Activity is very very limited due to medical problems. I'm not allowed do any exercise at all. I clock up 25,000 steps a day in work and that's it honestly, I'm not allowed anything more, I'm not allowed even do low impact right now.

submitted by /u/Jenny-Thalia
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from loseit - Lose the Fat http://bit.ly/2MBJDHZ

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