My wife is 5'4" and weighs 350 pounds

My wife (32f) and I (33m) have been together for over 10 years, and in that time, she's gained just over 130 pounds. <br><br>Back when we first met, she was 130 pounds. She was super skinny, and she was always on a diet to gain weight. As time went on, the weight never came, and she saw a specialist who told her that she just had a high metabolism and that she would always have a hard time gaining weight. <br><br>She gained about 50 pounds in the years after we met, but she eventually plateaued at around 180. She stopped focusing as much on gaining weight after that and just focused on eating healthier.<br><br>In 2020, she started gaining weight again. At first, we thought it was due to COVID, since we both gained a little weight after quarantining and a lot of gyms closed. But in 2021, she really started to pack on the pounds. I was a bit worried, but I never mentioned anything about it because I was scared she might have an issue with food.<br><br>I've always said that I don't care about weight, as long as she's healthy. But by this point, I should have seen the red flags. The doctor at her checkup in February 2022 said she was 260 pounds and had high blood pressure, but recommended a couple of medications and we thought that was it. <br><br>I'm not going to lie, during this time, I was excited about her gaining. I loved her new curves and I preferred her thicker than when she was skinny. I think I had a mentality of "she'll lose the weight later" and just enjoyed the moment that she was at her thickest ever. <br><br>Fast forward to a couple of months ago. She had a follow-up with the doctor and she was over 320 pounds. I was a little dumbfounded, since the last time we measured it was 260 pounds. I knew she had gained more weight, but I didn't think it was that much. <br><br>I mentioned that she should probably lose some weight. I didn't want her to be self-conscious about her body, but I said that I just wanted her to be healthy, and she said "I know, I just hate exercise".<br><br>I let it go after that, but she's gained even more weight since then. I saw her step on the scale when she thought I wasn't looking, and she's 350 pounds. I don't want to bring it up again because I feel like that will make her feel judged, but I'm also getting worried for her health. She's had issues with her knees for a couple years now and is barely able to walk around without them hurting. <br><br>My sister is a nurse practitioner and she said that my wife could have a number of serious health issues, including diabetes or heart disease, and that she really needs to lose some weight. <br><br>I don't know if I should just ignore this and let her go on as she is, or bring it up to her and risk making her feel judged. I don't know what the right thing to do is.<br><br>**TL;DR:** Wife has gained a lot of weight since COVID and now I'm worried about her health.