Trying to figure out what to do!
I think a long and honest discussion with your Dr is the best place to start.
I am sure there will be solutions. These solutions may take a long time. These solutions might be that for you with your health that it's mainly about reducing weight rather than aiming for a 'perfect' weight. I am sure there will be no quick fix, but I am confident there will be ways to make a change. It is worth discussing all options, including the appropriateness of weight loss surgery for you.
Hydro therapy based exercise is often the only one tolerated by people with pain- as the water takes your weight- might be worth exploring this possibility.
Good luck,
Em
I also say go to a very good internist about a specific eating plan for you! As for me, I was givin a eating plan by my Endocrinologist when I was at 285. She put me on a very simple diet: 1600 calories a day, try to keep carbs low (but not cut them out), try to increase my fiber intake when I can, she gave me a Calorie Counting book, and sent me on my way! I write down all my food in a notebook, use my Calorie King book, use my digital food scale, and count the calories each day. Honestly, exercises is not a big part of my program right now. Any good certified trainer will tell you that food choices is absolutely KEY in losing weight. I'd say start slow, be real and honest with yourself at all times, and just go for it! Keep us posted