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From Ted, child's age 14

Hey guys, I posted on here back in August about dealing with my nephew. He’s 14 and back in August he was 5’4 and 300 pounds. We went in for a check up this week and he’s 5’4 and 324 pounds. I’m really at my wits end here. I’ve stopped ordering fast food and catering to his wishes, but his dad sends him money and he’s loading up on junk food at school and on the way home. Every day I see food wrappers from Popeyes, kfc, McDonald’s, Wendy’s, all of those fast food places. I got a call from the school last week saying that he’s been having troubles getting to class on time - I think it’s due to him not being able to move around that big school so fast. His breathing has become more labored and I’ve witness him struggle getting off the ground and out of chairs. Stairs are a literal no-go as he’s heaving after half a flight of stairs. Whenever I’ve tried to talk to him about it he says I’m fat shaming him. I don’t know what to do. He refuses to exercise or eat less and the boy is going to have a heart attack if he keeps this up.