My bestfriend is entering danger territory and I'm worried

I'm not sure where to post this. I saw a post of a similar nature and it sort of pushed me to post. I thought this community might have by far better advice than other places. And more personal experience with this kind of thing.

TL:DR - best friend is fat, refuses help and makes up excuses. Should I give up on her?

My best friend, who was there for me when no one else was, and who means the world to me, is entering very dangerous weight territory. And refuses to do anything about it.

I can't tell you the exact weight as she refuses to check, she also has said she will go to the doctor multiple times and never follows through. We live in a place with free healthcare it's not a money issue. Her diets and "life style changes" are brief and more of a front to please me and get me off her back. Not to mention extreme and really unrealistic. She's still very young (very early 20s) and her family spoils her a lot. I'm not sure they really see anything wrong with it or will ever do anything about it.

I know she's unhappy because she's told me multiple times. She's always coming to me for advice about weightloss because I've managed mine well. When I give her the advice it's often if not always ignored or scoffed at.

But here is where it gets really bad. She can no longer function due to her weight. I'm a tiny female and a slow walker due to that. But she can't keep up with my pace whenever we go somewhere. She's so easy to overheat our trip ice-skating ended in her nearly having heatstroke. She can't go up a flight of stairs without saying she feels like passing out. And during summer we had a few close calls where she nearly fainted due to overheating. This could easily be an underlying health condition which we would know about had she gone to the doctors. But more than likely it's her weight. And she's done nothing but gain ever since I met her.

I am no longer sure what to do. I thought leading by example, keeping her aware and accountible without shaming and being a support for her would help. But if anything its made it so she sees me as the enemy and honestly I thought about giving up on her multiple times. But I'm just not ready to give up on my best friend. And I really don't know what to do. It feels like I've tried everything - just being there for her, advising her to go to a professional , telling her outright and without sugarcoating, linking her to videos that might help. I also just tried to outright tell her she will die before 40 if she continues. Being the edgy 20year old she is this was met with "oh but I'm waiting for the sweet release of death". All my worries are met with edgy humour, the "I don't wanna talk about this", or even worse excuses upon excuses which are mostly bullshit.

Do I give up? Or do I try a different approach?

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