Consult soon a pediatric endocrinologist for future work up and management.

your daughter as you said it is definitely obese and she requires a detailed evaluation. I am not sure whether it is endocrinol or is it related to her diet or lack of physical activity. to say that you have got to do a lot of investigations so you better consult Endocrinologist and get evaluated as soon as possible, because already she is way beyond expected weight. so don't waste time and get her evaluated by Endocrinologist immediately and take proper care .thank you

Please consult a good endocrinologist for complete evaluation.

Hi Your daughter seems to be having endocrine problem. Request you to do complete check up immediately.

As a parent I can understand your concern , For any person to change ,first thing that should happen is  that person should decide to change , first step here is your daughter should decide to decrease her weight ,to happen that she needs councelling ,this is tough tast rest to come dot in weight will happen magically , kindly make sure some how even you can take clinical psychologist help in achieving this task , once she decided , medical side evaluation should happen to find  medical cause for obesity ,then we can start her on OKINAWA DIET. GOOD LUCK