A 22-stone ex-policeman trying to persuade a health authority to fund obesity surgery has started the latest round of his legal fight.
Grandfather Tom Condliff, of Talke, Staffordshire, who is 62 and 6ft 2in, says he needs stomach surgery to save his life.
But the North Staffordshire Primary Care Trust (PCT) refuses to fund a laparoscopic gastric bypass operation.
In April, the High Court refused to quash the PCT's decision not to provide the surgery. Mr Condliff's lawyers are seeking to overturn the High Court ruling in the Court of Appeal.
Richard Clayton QC, for Mr Condliff, argued that a policy the authority had followed when making the decision not to fund the procedure breached human rights legislation.
Mr Clayton complained that the policy "expressly" required the PCT to "ignore" the "adverse effects on respect for his private and family life of not funding surgery" and the "potential beneficial effects on respect for his private and family life of surgery".
Mr Clayton told Lord Justice Maurice Kay, Lady Justice Hallett and Lord Justice Toulson that his client is "morbidly obese" and suffers from diabetes and a number of associated illnesses. Mr Condliff's health is deteriorating and doctors fear he could have less than a year to live, added Mr Clayton.
Mr Clayton said Mr Condliff had developed diabetes and other "health disorders" as a result of "congenital problems".
He said Mr Condliff had a "severe needle phobia", and over a number of years insulin had not been "delivered" as effectively as it might have been. Mr Condliff had developed a "gross appetite" and started to "gorge himself" following a course of insulin.
"He tried all other relevant non-surgical interventions, including dietary and lifestyle and drug interventions, for his gain in weight but was not successful. He is rendered morbidly obese."