I am so triggered right now. Why the fuck doesn't Amber want to go into ketosis. From a quick google search, not the best research but still better than anything AL can do, I found that ketosis occurs when the body is metabolizing fat at a high rate and converting fatty acids into ketones (a part/functional group of organic compounds found in a lot of metabolic molecules). Why wouldn't she want to metabolize her fat cell storage at a high level? Sure, this may be slightly disruptive to her metabolism, but what isn't at this point? Her metabolism is fucked and she must choose between the better of two evils: burning fat storage at an increased rate versus a slow and painful death caused by her super morbid obesity. Ugh, rant over. As someone with a slightly above average knowledge of metabolism and energy production, this is super autistic to me.