I need to lose 73 pounds to get a reduction help!!

LONG STORY

So in the past 16 months I’ve gained 40 pounds from just being on lockdown, not working, being lazy etc. I’m 5’3 190 pounds now but since February my bra size has gone from a D to almost an H but my band size has only gone from a 34-38 (which I understand is still significant) but I think it’s because in the beginning in February I got off my birth control which I was on since 13 which is a story in itself.

I’ve been in so much pain since my breasts have grown so rapidly. My back hurts and I feel just overall uncomfortable. I’ve gone to two doctors and they told my I’m going to definitely need a reduction since it’s obviously a hormonal thing since it’s happened so quickly with about 15 pounds of weight gain since February but I had to stop seeing those two drs. Since I moved and got a new insurance.

Fast forward to last Monday, I go to the dr so I can speak to her about a reduction since I never got the surgery referral from the other doctor. She was a very sweet lady but she was very adamant that I don’t need a reduction and it’s not hormonal. She did 0 blood work and didn’t even look at my breasts. She continued to tell me that based off my BMI I’m “extremely obese” which I understand it’s by height to weight ratio but DAMN. my weight is very evenly distributed except for my chest. She didn’t even believe me when I said that I got 2 opinions and said “I don’t really think you need it but if you get down to 117 in 7 months we can talk about it again”. That’s 73 pounds in 7 months, over 10 pounds a month!

I just wanted to know what everyone’s weight loss tips are (I’m watching what I eat but she wants me to exercise too. I’ve told her multiple times during our meeting that my back hurts from sitting and I can’t even walk for 40 minutes without intense back pain.)

I need something realistic to strive for. I just don’t see getting down to 117 (a weight I was in 9th grade) as possible or that I would feel comfortable being that small.

I added a pic of how I look now it’s kinda hard to see but I don’t have others lol