Despite her endless efforts and his fleeting moments of hope, the relentless climb back to danger’s edge gnaws at their future. Each missed medication, every ignored warning, is a thread unraveling the fabric of their tomorrow. The looming threat of a stroke or heart disease hangs heavy, turning love into a desperate plea for survival.

My husband (Mark) and I have been together for 10 years, and I love him unconditionally no matter what we look like. When we first got together as teenagers, we were both so much smaller.
But in the last 3–4 years, he’s put on over 200 pounds. I don’t even care about the number on the scale—that’s not what bothers me. What kills me is that his weight has caused stage 2 hypertension, prediabetes, and sleep apnea.
At his heaviest, he was almost 480 pounds.
He was prescribed meds to help with blood pressure and weight loss, but he never takes them consistently, so they don’t even work. I’ve tried everything to get him to eat better or move more.
At one point, he lost over 30 pounds, but now he’s back at 435. And then I find out that two months ago he just decided to stop taking his meds completely because “he didn’t think he needed them.” Now his blood pressure is worse, and the weight is climbing again.
His doctor told him he’s at a serious risk of a stroke or heart disease if he is not taking his medication consistently.
It’s beyond frustrating. We have a baby, and expecting another, and I cannot babysit a grown man every single day to make sure he takes his pills, eats healthy and gets some exercise—while I’m also working full time and caring for our kid.
He wont go on walks with us, he wanted a bike that he never touches, and when I even offered to pay for boxing lessons because he said it would be fun, he said no.
It honestly feels like I’m going to be a widow by 30 with two little kids because he won’t take his own health seriously. And I don’t know what else I’m supposed to do. I can’t just sit here and watch him die and if I bring it up he says it’s really rude and he’d never ask me to lose weight, or he’s “working on it”.
I love him and do not want a divorce, but I feel like maybe an ultimatum is the only thing that will click for him to take this seriously.
Conclusion
The original poster (OP) is caught in a painful situation, torn between her deep, unconditional love for her husband and the serious, life-threatening health risks he is creating through inaction. Her conflict centers on her inability to force him to take responsibility for his severe health issues, despite her efforts to support him with medication reminders, activity suggestions, and logistical help.
Given that the husband’s refusal to manage his health directly endangers his future presence in the family, the central question is whether the OP is justified in issuing a strict ultimatum regarding his health compliance, or if setting such a boundary crosses into controlling behavior that could damage the relationship further.
Here’s how people reacted:
Love can’t fix people. It’s one of the hardest truths of any relationship. Love can inspire change and reward effort. Love can reinvigorate or provide external support. But ultimately, if a person is unable or unwilling to change then love can’t sustain that relationship. That’s why even loving marriages fail when the other elements of a committed relationship are missing. As long as his inner child seeks comfort instead of growth, your efforts to love him into health are enabling his depression.
You could discuss separation. It isn’t good for kids to see their father actively killing himself with food. It can inspire long term trauma with food in their own life. More- they deserve to know what a healthy relationship looks like, and you taking on all the responsibilities with none of the support isn’t great for how they’ll learn to view a relationship.
A separation would do whatever a ultimatum could do, but without the coercion. My hope for y’all is he takes on the challenge of his health and faces his own demons, allowing both of you to reinvest in the relationship. If not, the separation becomes a divorce. Either way, you will have the space to figure out who you are without having the extra hardship of a high school sweetheart who never took responsibility for his own wellness and well-being.
If you can’t get him into counseling, and he won’t listen, then you have to decide if you want to watch him deteriorate, because he will if he doesn’t treat it. My husband’s uncle did this exact thing, only at a smaller BMI (he’s Indian, they get health issues at a lower weight than, say, me who is Nordic). The man ended up in such a brain fog he lost his job, had to rely on his kids, and ended up passing from a stroke because his blood pressure got too high (watering it down). His eldest son found him. The same eldest son had to live with me and husband for a while because it was so traumatic to find his dad like that, he could barely function.
Ultimatiums don’t work, but an open discussion on boundaries does. The boundary in this case is “I need you to lose weight so you can stay with me and remain healthy and both of us to be happy, if you cannot do that, and don’t want to go to therapy, then x will happen”. Whether that x is a separation or full on divorce is up to you, but it should be after everything else is exhausted imo.
My husband has a pattern of having extraordinarily high blood pressure, getting sick from it, being put on meds, taking them for a while then stopping.
In 2021 he was hospitalized and his kidneys were shutting down. He swore that was his wake up call.
Fast forward to last year I was cleaning his bathroom and found YEARS worth of his blood pressure meds unused. He was getting them filled to make me think he was taking them.
That was my breaking point.
I no longer care if he takes them or not. He’s close to Stage 3 kidney failure yet refused to see a kidney specialist. Before I’d look at his medication case to make sure he was in fact taking his meds but I stopped. I resent him for ignoring his health but he’s a grown ass adult and I’m not his mother.
We’re in our mid 50’s and I refuse to have to be his nurse in my older years. I want to travel and enjoy life, not be stuck at home because he needs dialysis three days a week.
Call me heartless and cruel and how I need to honor my wedding vows. I just don’t care.
He needs to be in therapy, but honestly until hes ready, even that will be a hard sell, because right now there is no crisis, hes found an equilibrium and his system is gonna resist anything that throws that off.
Imo, you will probably need to leave for his own sake, because until something serious happens to wake him up, it wont change, people rarely make changes when there’s not a sword at their back.
NTA, but you cant keep enabling him, something has to give. As long as he can keep pretending life is all good, with you picking up his slack, hes gonna remain the way he is.
The real issue here is what underlies below his addiction and it might be an undiagnosed depression or ADHD
But since your husband says “he didn’t think he needed (the medication)” for diagnosed conditions, if you suggest he consult a mental health specialist he will say you are the crazy one
Sometimes you just have to drive them to the edge so they realize they are fvcking it up. What I would do if I was in your shoes is tell him you love him, but you just can’t witness how he’s slowly killing himself, so you’re moving out with your kid. Sometimes though love is the only choice
Couples counseling with a truly neutral counselor is what you two need. He needs to understand that you are concerned about his future with his family, and you need to see if there is a deeper cause to his weight gain such as depression.
Trust me here, as a guy with depression, we never talk about it.
Couples therapy/counseling is your only real option atm. He won’t even listen to doctors.
This is incredibly frustrating and I wouldn’t blame you for being furious at him for not trying at all.
As a parent it’s your responsibility to do your best to be healthy and show your kids how to take care of themselves, their future families and to take health seriously.
If he’s not prepared to be a good example to the kids and to live long enough to see them grow then he should leave the family home now.
I’m actually amazed you are pregnant!
To die on because if you don’t, he will.
Perhaps helping with intermittent fasting or whatever else works for him.
Sometimes a partner is better than an adversary.
#justsaying
Gaining 200lbs in 3-4 years certainlyndoesnt sound healthy, but perhaps something is going on. Depression, etc.?
Just when he likely needs u most, u pack up and leave? Sounds like u have conditions on that ‘unconditional love’
Why do people continuously dig themselves in deeper holes??
You are young. Cut and run.
Why on earth are you breeding with this man?
YTA