5ft 23yr old female. my weight is around 248 bmi is around 49. high bp & hr, pcos, no menstraul cycle in 4-5m, retain water, heart burn & stomach aches almost daily. best advice?

Eat fewer calories: Our bodies are in a simple state of balance. If we eat more calories than we use, we gain weight. If we eat fewer calories than we use, we lose weight. So, people who have to lose weight must eat less than they use on most days, but occasionally may eat more than they use on other days... Thus, it averages out over time, so that they are eating FEWER calories overall, than they use up each day.

Dr Saghafi and another doctor agreed