I am a morbidly obese 43 yo female ht 66" wt 303, waist circumstance is 55". My upper belly is the fattest part of my body. My belly protrudes 3.5 ft from center, I am 4 ft wide, my stomach hangs down pulls me forward, so I pull my fat up and hold it on my lap. I have a visceral fat level of 54, I was told that I will be dead in the next 24 mos if I don't have surgery or start losing weight on my own. I have angina from microvascular coronary artery disease, I'm diabetic, hypertensive, and hyperlipidemia, all of the numbers are our of control even with meds, I am a heavy 2 pack or more a day smoker, I am sedentary, just climbing we flight of steps leaves me gasping for breath, sweaty, tired and has triggered my angina. Lately I've been having 3vor more attacks per day, the nitroglycerin usually works but the last episode took 3 pills to bring the pains in my chest, arm, neck and tightness in my throat down from severe to mild. I'm still having some intermittent tightness and pressure in my chest sling with sweats, nausea, I was thinking I should go to the ER. I would hate for it to be completely nothing. Advice?