The advice to talk to your doctor is spot-on. I did pre-conception counseling, knew the risks, and got pregnant when I was in my 180s (but I was also 37, so running out of time!) Pregnancy is hard on your body when you're already heavy. Luckily, I didn't get any gestational diabetes, preeclamsia or other complications, but I was VERY strict with my eating & exercise while pregnant. There's a great book for overweight pregnancy called "Carrying a little extra" that you might want to check out of the library to learn more about the risks more generally -- it might help you have a more informed discussion with your doctor and ultimately a more informed decision on starting your family.
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