If he’s drinking soy sauce with 3 meals and two snacks a day, while being completely sedentary, bipolar, and on meds, his blood pressure must be through the fucking roof. Every time he rages out, he’s risking a heart attack or stroke. He has free healthcare through the state; I’m surprised they aren’t taking him to physical therapy for his leg and his feet. Even if he can’t walk too much, he could be on a stationary bike, so that he’s getting some cardio in and lowering his resting heart rate and maybe missing a meal or snack here or there.
His TDEE must be so high and the fact that he’s still gaining is ridiculous. If he keeps up at this pace, he’ll probably be a candidate for the deathfat deadpool by spring.