470lbs and I feel like im at rock bottom

hi guys. Im 21f and I’m 470 pounds. I feel like I’m hitting rock bottom and I don’t know what to do. Im having a lot of health struggles right now and I can feel my health deteriorating.

Im having so many breathing difficulties and I wake up in the night feeling like I can’t breathe 🥲 not to get tmi so this is all I will say but im also starting to have serious trouble washing myself due to my size and its making me unable to leave my room because im scared somebody can notice. It’s affecting my studies too, im a first year medical student but I’m getting too tired to attend my lectures and most days I just stay in bed all day and order food. I’m so mentally unhappy, I hate myself for putting myself in this box but the fact that I need to lose over 320 pounds feels so, so daunting to me.

Ive been binge eating since I was a child to cope with trauma, it feels unknown to me to stop doing it but I know I need to. I really need some help, I need my life back. I guess this post is just a vent but I need some encouragement or advice from anyone who’s been there before I guess, I know it sounds really silly but ive never been to a doctor before so I am dreading having to make an appointment but I know I need to. Im scared they’ll judge me for my size, im really insecure of it already im not one of those fat people who let you joke about them

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