Welcome to HCM! There is a real situation I see....I feel that you must have tried all your ways to encourage him/ force him/ try to convince him, to become more active but some how these are not seem to be working... Normally when someone is troubled, he tries to search for the solutions but here I see a person who doesn t want to make an effort. You have not mentioned why he is like this? What all excuses he gives you when he refuses to do some thing ? This is an important part of information which is missing in this question. Such a life style is no doubt unhealthy plus dangerous for any body. Please see if he is depressed? ( you have not mentioned this in query but at the same time you have not said that he feels great about life or himself). In any case, he will be helped by meeting a psychiatrist/ psychologist. There are some useful weight reducing meds but if it is due to depression, you will be surprised by his response to that treatment. He will becoem much better. Even if it is not depression, by meeting a psychologist/ psychiatrist will surely help him; he needs his own kind of motivation more than anything else. So, donot waste more time, he already has big bunch of physical problems, fix an appointment with a psychiatrist and take him. Trust me, counselling session do help! good luck! Feel free to ask more queries Dr. Manisha Gopal