how do people have children with this disease?

I don’t know if this is a weird question but I’ve always wanted kids since I was little when someone would ask me “what do you want to be when you grow up?” i’d say “a mom” which was partially because I had a bad one lol.

I was diagnosed with gastroparesis a few years ago but got very very sick after COVID. I am 5’5 and got down to 91lbs. was only able to eat 500 calories max. Being sick took up most of my mid 20s

I’ve been able to get calories up with shakes/liquid diet and weight up but not to a “normal / healthy” place. I don’t have as much energy as other 27 year olds. I can’t do as much

I sometimes just don’t know how my body would be able to carry a kid. If I ever wanted one I really feel like I would have to adopt or do a surrogate which I am okay with but even just wanting to make sure I would be a good mom. the days i’m sick. when I have flare ups like it doesn’t even feel possible for me anymore and I find myself kind of mourning that life I’ve always wanted

Looking for some peoples experiences either if you have decided to have kids or not and how this disease has affected it