Exactly.  Even lying in bed, it takes a lot of calories to stay at 500 kg. just by the laws of physics.  If Egypt is such a poor country, why is her family stuffing her face?  She's not the one grabbing the food, seeing as she can't leave her bed. It's just like on the My 600 Pound Life episodes where the 600-pounder's family are also obeasts who feed it crap.  It makes you really wish Dr. Nowaradzan could fat-shame them.