To wonder if I die, will there be a coffin big enough because I'm so fat?

@AbraCaStabYa I’ve reported your post just downright nasty

I wish people would stop giving ‘helpful’ advice (that I’m sure the OP has heard thousands of times before) when her weight issues are MEDICATION related

I am.confused as to why OP cannot get GLP on the NHS.

Cremation is always an option.

I agree with pp that your weight must be much more life-threatening than the small risk associated with your family history of cancer.? Could you try another GLP1 provider?

The sooner weight loss is treated as a medical issue the better. There are so many reasons why some people find it impossible to lose weight.

OP, I lost over 50kg after a healthy scare. I realised I needed serious help or my weight was going to kill ke.

I saw a random GP for something related to the health scare and he suggested Gastric Sleeve. I’d seen that on TV, but never connected the dots to me (no idea why not, I was clearly big enough).

I cried, came home and read through all the weight loss surgery threads on here. This was 2022, before all the GLP1 medications.

At the time, I knew I had to try and make it work, because otherwise my weight would eventually kill me.

It wasn’t always easy, but for me, it was the answer. 4 years later, I’m keeping the weight off. I absolutely could not have done this without surgery.

I had a long history of dieting and yo-yo weight, always ending up bigger.

Now, I don’t diet, I don’t count calories, I am mindful of what I’m eating, but I can eat pretty much anything. The difference is, it’s smaller amounts.

I’m on holidays right now and I’ve eaten so much today, but I know I can just eat a bit more carefully for the next two days (with ease now), and be fine.

Please see if you can get a referral to a weight loss surgeon if you think it could be the answer for you too.

@AppleJuiceAvid don't spend time worrying about coffins. 26 stone is not going to be anyway near the highest weight seen. There would be a coffin available. But the goal is that you don't need a coffin any time soon.

It's not your fault that you've been given this medication. It piles the weight on. Try to be compassionate with yourself.

I hope the hospital comes through with an appointment soon.

Who refused you due to a family history of thyroid cancer, that’s very odd. It was seen in early trials on rodents, the drugs tweaked and never seen in humans. Just try a different pharmacy

You need 4 out of 5 weight related health conditions. The nhs barely prescibes. It’s got no money

You can still get weight loss surgery.

She probably would be referred, I was referred, I was over 20 stone. But, I knew that in reality there would be many stages to it to get to tier 4 intervention, lots of the interventions I would be seen as DNA'ing because they only run during working hours and I wouldnt be able to access it and the waiting list would be about 4 years. Once I had it suggested to me by my GP, I realised I wanted to do it and just took a loan out.
Lost 10 stone.

Bariatric surgery has a 60 percent regain rate,if she can afford it she’d be better on the meds, a family history of thyroid cancer should not be an issue, she just needs to change pharmacy

What do you mean by that?

Because the medication she is on, makes you crave food, makes you want to eat more. The weight piles on

She is eating more calories than she needs.

Medications that make you pile on weight, dont magically layer fat on you, they simply make you want to eat more.

She needs a way to eat less despite remaining on the medication (which presumably she needs)

Ok you can’t have the injections or pills?

you could have surgery? A gastric sleeve or gastric bypass? (On the nhs obviously) Have you been referred to a tier 3 service yet ?

they really ought to, particularly since you can’t have the drugs

All weight loss methods have a high regain rate. Surgery is the lowest but as you say its still high

Technically I fall into that 60%. I lost 10 stone and have settled at 11 stone. So put on a stone. One might have said I was a bit too low at 10 stone, I didnt think so, although my face and bum certainly looks better at 11 stone. The point is I have regained so form part of the statistics. You have to look at the details to understand what 'regain' means.

Surgery isnt foolproof, those of us that love eating, fascinated by food, as I am, its my hobby, will have to work at it for life, just like any weight loss method you may choose, incuding medication.

OP stands a better chance to lose the weight, get it off and maintain a lower weight with surgery or medication than any other method. Bariatric advice is to just get it off, as my surgeon said, its a ticking time bomb.

And believe me, it is easier to maintain a lower weight, than to try to lose weight.

I’ll answer the coffin question.
A family member was large and expressly wanted a simple, economical cremation. The funeral company put them in a cardboard coffin liner and used a generic wooden one for the service.
I’m sure they have them in all sizes.

About the weight question, YOU need to want to lose weight, nobody can do it for you. Unless you’re rich and can pay for surgery or injections.
If you hit rock bottom the only way is up. My rock bottom was a health crisis at 50 which led to intermittent fasting and keto (-10kg immediately, a change of mindset and slow loss over the following 8 years). I’m now lighter than in my 30s but it took a nasty shock to give me the push…

Well no, because the injections can be used for maintenance,you don’t need to come off, you just stay on a low dose so never need to regain

Well yes because of course you know that they are also not foolproof, you become used to the amount you can eat, you slow down, you may well stop responding (although you should chop around if that happens), so they are a breakthrough, they are OPs first port of call in my opinion and if they work, absolutey keep on them, keep on them for life, job done for her and her life will be absolutely changed for life. But she shouldnt discount other options as back ups if for whatever reason thats not her preference.

My work involves crematoria so I know the weight limit for body plus coffin is a whopping 36 stone. You’re some way off that, OP.

Hang on, you can rent a coffin? What do they do when the coffin goes through those curtains, lift the body out first?

Yes there are larger coffins & lifting equipment in both hospital mortuaries & funeral directors now which take weights greater than yours. It's very discreet & nobody would notice if a coffin was slightly larger.

It's your inner 'fat shame' talking & not something you need to worry about & give headspace to. Concentrate on being as fit & healthy as you can be & don't beat yourself up or feel shame over your weight.

You’ll be dead so it doesn’t matter.

Focus on what you can do to have a longer life, please don’t worry about after your death. It sounds like you’re already taking advice on how you can get healthier, stick with it 💐

I know nothing about WLI.
Sadly I do know that you can get custom made coffins. It's definitely not a one size fits all.

Um what? The drugs don’t stop working.

I used to work for a medical imaging company and we started to produce wide-bore MRI and CT machines to accommodate larger patients.
If fantastically complex technology can adapt, I can’t imagine there will be any issue getting a larger coffin.

However, I really wouldn’t spend time worrying about this since it won’t be your problem!