how fucked is my body rn? like ik im a brick but can pio save it alone? or should i try to loose weight then pio? give up and detrans? sorry for a bunch of questions ty nonas

how fucked is my body rn? do i need to lose weight than do pio or just straight to pio? also does pio redistribute fat exists already? should i give up and detrans? sry for a million questions ty nonas