Super obese, why isn't the weight falling off me?

You're stuffing your face still. To maintain 440 lbs you'd need to eat around 2800 calories a day.

Where did you get that number from? I'm 80 pounds less than the OP and I have to eat 3700 calories to maintain.

I did a simple tdee calculation and set it to sedentary,

You're stuffing your face still. To maintain 440 lbs you'd need to eat around 2800 calories a day.

Where did you get that number from? I'm 80 pounds less than the OP and I have to eat 3700 calories to maintain.

I did a simple tdee calculation and set it to sedentary,

Im not sure what calculator youre using but that seems about 1500 calories off.

Just keep it up.. a pound a week is 1 pound closer. As soon as you can - add muscle - muscles help burn the calories! If you can't walk - get a barbell, you can improvise those - like a clock grocery sack full of sand or canned peas, etc There are a number of shoulder and arm muscles you could build.

I am 440 lbs. I have been sticking 100% to an 1800 calorie diet with 40% coming from carbs. No, I can't increase my calories, I've tried and just gain weight. I've been very sedentary so my metabolism is shot. I'm struggling to even lose a lb a week.

My dr is pushing very hard for weight loss surgery but I don't want it. She doesn't understand why the weight isn't melting off someone my size and frankly I don't know either. Going from a fast food and pizza diet to a restricted calorie lean meats and vegetable diet should drop weight. Do I have to go low low carb in order for this to work?

I also struggle with painful arthritis in my knee which limits activity. It's painful for me to even walk much. I don't have access to a pool. I am so determined to lose the weight this time and have been so good weighing, measuring and tracking all my food, why isn't this working??

I'd first be 100% confident that you're eating 1800 calories - always use a food scale and try to be as accurate as possible. Don't take any short cuts, don't omit anything from your food log, and do not guestimate anything - do that for a few weeks and see if you're still seeing 1 lb/week. And while I rarely suggest it, you may want to consider experimenting with lower carb options to see if they affect you differently (try getting your log 100% accurate first). You don't necessarily need to go ketogenic but, given the circumstances, you may well benefit from eating a low carb diet. If it was me, I would experiment with my carb macro before going the weight loss surgery route.

What you eat can be as important as how much you eat. Try to eat as many high fiber, low sugar foods as possible. Try to eliminate all refined sugars. Aim for 5 servings of non-starchy vegetables every day (not potatoes or corn). Also, make sure you are getting enough good fats in your diet. If you don't, your metabolism will slow down. Balance is key. Drink plenty of water. Be patient. Weight loss can take a while. If nothing happens in a month, consult your doctor.

With limited information, we can only provide limited answers.

OP:
I suggest you read all of the links provided for you in this thread. There is a reason they are posted multiple times per day in multiple threads. (Excellent information that gives an excellent starting point.)

I agree with others who have suggested you begin with exercises. We all had to start somewhere and even if it is just walking to the mailbox and back one day, then going a few extra steps the next day, that is the beginning. Anything to get your body moving. You can do seated exercises with dumbells or floor exercises as well. I know it can be very difficult to exercise with body pain from arthritis but getting the weight off and strengthening your muscles are going to take some of the pressure off the joints. Good luck to you. You CAN do it!!

You're stuffing your face still. To maintain 440 lbs you'd need to eat around 2800 calories a day.

Where did you get that number from? I'm 80 pounds less than the OP and I have to eat 3700 calories to maintain.

I did a simple tdee calculation and set it to sedentary,

Im not sure what calculator youre using but that seems about 1500 calories off.

All that matters is to be 440 lbs and claim to not be losing at 1800 cals a day is flat out BS.

I'm 6'1 185 and lose at 2350.

No, it's not.

But people really need to stop judging on this forum because they do not know the medical issues that are impacting a persons metabolism. Does she has cushings or graves or hyperthydroidism? Does she have a metabolic disorder?

The answer is you don't know.

Just because YOU lose at 2350 doesn't mean someone else will.

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No, it's not.

But people really need to stop judging on this forum because they do not know the medical issues that are impacting a persons metabolism. Does she has cushings or graves or hyperthydroidism? Does she have a metabolic disorder?

The answer is you don't know.

Just because YOU lose at 2350 doesn't mean someone else will.

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It is an open public forum and give my opinion to anyone.

She's eating too much.

Please look on youtube and Sparkpeople for videos of seated exercise...there are a LOT of options out there for people with limited mobility, for whatever reasons. I just did several months of seated exercise due to surgery restrictions, and it was all doable and helpful.

As for the surgery...as a person who has been a patient with extensive abdominal surgery (due to cancer), and as a medical professional who works in a trauma & surgical ICU...I would really, really, really, hold it off as a last ditch thing to do. The guts are funny things and ANY bit of tinkering in there can lead to a lifetime of problems. If your current doctor only pushes surgery and can't or won't help you with really digging through the stack of potential issues you may have going on, find a new one. The issues that caused you to be obese in the first place will still be there after the surgery, you may as well deal with them now rather than deal with a desire to stress eat after the surgery, or have endocrine problems, or whatever.

There are members here who have lost 100's of pounds. Find their success stories, read them, know what is possible for others is possible for you, listen to what they have to say, and get to it. Don't make it too complicated at this point.