Losing weight from 500 kg (1100 lbs) to 91 kg (200 lbs)

is an extreme transformation and typically involves a combination of the following:


💉 1. Medical Intervention (Bariatric Surgery)

Most people who lose this amount of weight safely and effectively undergo:

  • Gastric bypass or gastric sleeve surgery
  • These surgeries reduce stomach size, helping limit food intake
  • Often paired with psychological support and lifelong dietary changes

🍽️ 2. Strict Medical Diet

  • Low-carb, high-protein medically supervised meal plans
  • Often includes meal replacements and portion control
  • Calorie intake may be reduced to 800–1200 kcal/day under supervision

🏥 3. Hospital Supervision (Early Stage)

  • For individuals at extreme obesity levels (e.g., 500 kg), initial weight loss may begin in a hospital or clinic
  • Focus on preventing sudden health risks like heart failure, infections, or immobility complications

🧠 4. Psychological Therapy

  • Many extreme obesity cases are linked to emotional eating, trauma, or food addiction
  • Cognitive Behavioral Therapy (CBT) or support groups are often part of treatment

🏃 5. Gradual Exercise

  • At 500 kg, initial movement is minimal — possibly physical therapy or bed exercises
  • As weight drops, more activity (e.g., swimming, walking, resistance bands) is introduced

💊 6. Medication (Sometimes)

  • Appetite suppressants or GLP-1 agonists (like Ozempic or Wegovy) can help
  • Only used under medical supervision

⏳ 7. Timeframe:

  • Losing this much weight safely could take 2–5 years
  • Extreme, fast weight loss without supervision is dangerous