She needs in-patient help, no 2-ways about it. Usually they'll take them in for a month and It's basically fat cunt rehab where they put them on 800-1200 calories p/day depending on BMI, and control all their meals. The problem is once she goes home there's no real way to tard wrangler for her, none of her family seem to give a shit about helping her stick to a diet that will help her lose the weight.
I must say she might have to act soon because her lymphoedema is looking fucking nasty and lemme tell ya when that disease is left unchecked the person has such a high mortality chance; one bout of Cellulitis and Hamber is fucked, each time you get it increases the likelihood of getting it. Eventually one of them will ding Sepsis and that'll be night night.
I've seen and dealt with a few Lymphoedema cases and in my opinion It's one of the worst conditions that can be caused by obesity that largely goes unnoticed/unknown by many.
I've said it before, I'll say it again.
She does not need rehab.
Rehab is for people that actually want to get help. It is a waste of time, money and resources because she does not want to change. She surrounds herself with people who enable her for a reason.
She has had plenty of people try to help her for free and she just laughed in there faces and stuffed more burger king down her throat.
She is comfortable the way she is living. She doesn't want people restricting her diet or telling her what to do.
Rehab would be truly and completely pointless.