This is a long one so thank you to anyone that invests their time into listening and making any suggestions.

5 years ago I was 305lbs, for context I’m 6’4 and very broad and well built. Today, I am 555lbs and I am in so much pain I can barely walk. Let me check all the checks for everyone first.

-Sub 2000 calories daily -Work in a physical environment with heat all day welding. -I adhere to strict time restricted feeding 12pm-8pm so I get a 16 hour fast daily -I do not eat carbs or processed sugars I don’t drink sugary beverages -I don’t drink alcohol or use any other substances. -I get over 7,000 steps a day in on average when I’m able to be fully active. -high fiber high protein diet essentially time restricted keto religiously for over 5 months.

I have had complete panels done when I say complete I mean complete. Liver kidneys heart thyroid ct scans with contrast a1c, testosterone, stool samples….

My labs are “within range” my a1c is 4.5 I keep an eating journal for my drs and I showed them the data from my Apple Watch.

Here’s where I present things that don’t make sense beyond those things. To be active at 555lbs the amount of calories it takes to move alone is far more than 2k calorie consumption a day. So essentially my car is running on empty but somehow still going and inventing its own fuel. They agree it’s severe metabolic syndrome but according to their calculations I would need to store 3500 calories a day in order to gain weight at the pace I’m gaining weight.

My free and total testosterone are low but that’s normal for obese people essentially my testosterone levels are diluted due to mass.

I track blood glucose levels and have used 3 different monitors. My blood glucose at the end of my fast is 140s an hour after I eat it drops into the 90s completely ass backwards.

My endocrinologist put me on ozempic after 3 months of being on ozempic my a1c went to 7.4 mind you my diet hasn’t changed. I don’t even like sweets I’d take a steak and baked potato over a brownie any day.

People who are educated are going to look at the numbers Ive given and say this isn’t possible the math doesn’t math. I agree so do my drs. I am waiting to be sent to a specialty hospital for further research on my condition but I’m hopeful someone has experienced something similar and possibly has insight or suggestions.

Please dont hesitate to ask any questions or give any insight or suggestion.

P.S. I do have periods of time that my body hurts so bad I can’t physically deal with the pain and it takes 3 days generally to recover. Also when my pcp prescribes me prednisone I feel like a million dollars my symptoms align with lupus or a connective tissue disorder and I believe that I would be able to lose the weight if I was able to be consistently active but when I’m dormant I lower my calorie intake to less than 1k a day.

Please help.