<s>[INST] Hi, I am having a couple of issues that I am assuming all have to due with being overweight, but can not find answer that will help me.I am a 47 year old male 510 300lbs. I have severe back pain daily trouble breathing and cant sleep when its time to but will fall asleep many times through out the day (while driving). Now I am having paralyzing stomach cramps if I move wrong. I have seen the Dr. many times and says all my test come back fine Im Just fat... I feel like I cant deal with fat until I deal with the pain. [/INST] THANK YOU FOR YOUR QUESTION. Let me begin by saying that you definitely have condition called Obstructive sleep apnea. It is common in overweight patients. The neck fat presses on the windpipe and causes snoring and does not allow a good nights sleep and hence the falling asleep during the day. Ways to treat:1) Portable BiPAP at home. It's the best and most recognized treatment2) Surgery: A severe but more permanent solution shortest of breath is also due to the fat which along with gravity restricts chest movement. For your back pain I agree with the doctor that it is mostly due to the weight. U see the spine is like the pillar of the body and takes on most of our weight. As you are overweight the spine is extremely stressed and thus the pain. I suggest U start cycling and see a dietician for your weight. In the meantime Take Flexion Mr 500 mg thrice a day for the pain. This should hopefully treat the cramps as well. If you have a history of stomach ulcer or heartburn take pantoprazole 40 mg as well </s>