https://en.wikipedia.org/wiki/Angus_Barbieri%27s_fast
I lost 70 pounds (nearly a third of my weight) through just restricting my intake to two tiny meals a day. It sucked really hard at first (I was in what felt like physical discomfort and didn't defecate for a week when I started), but it worked and I've kept it off. It takes time (for me the better part of a year), and making a decision and the willpower to stick with it no matter how much it sucks (as long as you know it's safe).
My hunger is still all in my head to this day. I'm sure the challenge of not overeating will last the rest of my life, but the tradeoff of weighing less is worth it.
If you want to read about how far the mind can take you, read David Goggin's book, Can't Hurt Me.
At that weight, you are very likely already regularly connected to your doctor, and have probably tried many things, and anything anyone says here will probably sound rude, ill-informed, or trite.
Regardless, you can get through this. Day by day. Good luck.
Or, if you meant to question the truthfulness of their claims (without offense, is that possible?)... A quick internet search shows that the heaviest person recorded was 50% heavier.
So, yes, the weight described is certainly possible.