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[quote=Anonymous][quote=Anonymous]35 F
350 lbs
I've been big my whole life. In my teenage and early 20s, I'd start a diet, then quit within days or same day. I eat at any time of the day, mostly sweets, lots of carbs, take-out about 3x a week, rarely ever any fruits, vegetables or water. I often overeat, even when feeling full, and regret it later. Haven't seen a PCP in about five years but pretty sure I'm Diabetic, I know I have high blood pressure, and probably other issues. Currently not taking any medication or supplements except a multivitamin.

I work outside the home but usually evenings and physical activity isn't needed much so I'll read or watch shows in my down time. Never exercise. I'm completely independent and don't need assistance with anything.

I'm well aware that I have to do something to turn my health around/stop this path or I'll die soon. I don't know how to start. Any tips for someone like me who needs to lose 200+ lbs? It just feels so overwhelming (completely my fault, I know.) I'm going to make an appointment with PCP to see if I can get a check-up and necessary testing but as far as lifestyle changes for losing weight, I'd love tips. TIA.[/quote]

Telling yourself you could die or other people telling you this is not likely to produce long term weight lose. After all, you didn't just think of that at 35, you have thought it before and viola you still weigh 350 lbs.

You should search out a PCP who can acknowledge your weight issues AND any other medical issues that you are experiencing. Try to find one that you can build a relationship with that won't only focus on weight loss but also treating any other issues you may have.

Go to an info session about bariatric surgery. Since you said you have been overweight for a very long time, this is your best bet to lose weight and keep it off.  You don't need to make a decision regarding surgery right away but start talking to surgeons and maybe visit a support group for those who had surgery. It's not quite as easy as you might think but it most definitely is helpful. Realize saying things like "well people regain weight so I shouldn't do this" or "its the easy way out!" means that you aren't ready to actually lose weight and what you really want is to hang on to being able to eat all you want, whenever you want.

Have an evaluation for ADHD. Impulse control is often a problem for those with ADHD. You might not be able to take medication for that right now given your high blood pressure and weight but it's also helpful to understand that overcoming the impulse control is very difficult and is not something you can "therapy" yourself out of

Which then brings me to therapy, in regards to eating, think about when you overeat or when you want to overeat. Does it happen when you are bored, angry, lonely, happy, or joyous? If so, every single emotion is tied to the habit of eating so knowing which emotion you have won't stop the eating habit.  Therapy can really be helpful but don't expect it to result in a lot of weight loss.

Focus first on diet and don't worry about to a gym.  Walking is always a good thing to do. Start slow and build up. It might mean you can only do a 15 minute walk and that's ok. There are very easy beginner "workout" programs that are designed to be used by people who haven't exercised in years. They are a combo of seated and standing but no jumping or running. The idea is to help someone who has not been exercising build up without overtiring and stressing the muscles. The point of the programs are to help someone build up to where they could actually do a regular beginner workout.[/quote]

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