Anonymous wrote:If you drink any kind of soda or juice, replace that with water. That's a great place to start. I was 255 at 5'4", and I don't drink soda, juice or alcohol, so I started with snacks - I only had fruits or veg for snacks, with the exception of one bag of popcorn per week.

After a month of getting used to that, I cut all my carbs in half or less than half. Like, I looked at the serving size of pasta and used a measuring cup - turned out I was eating four servings at a time.

Then, I realized I kept interpreting "hunger pangs" as "pain." So every time I felt them, I reminded myself "You're not in pain - you're fine; you're just losing weight."

I stopped going back for seconds or thirds. Even at Thanksgiving, I had a plate with about 4-6 ounces of turkey (hard to eyeball it), a scoop of potatoes, a small bit of cranberry sauce and some greenbeans. I tasted a bit of my nephews pie and otherwise didn't have dessert. And it was ... totally fine!

I am at 205 now.

Anonymous wrote:Start with a primary care doctor and ask them for a referral for an obesity specialist. Ask them to do all required testing and prescribe a suitable weight loss medication.

Throw away white flour, white rice, sugar, read meat, alcohol, soda, chips, jam, jelly, cake, cookies bread etc.

In addition to whatever exercise you do, walk around the house for 10 minutes after every two sitting hours. Walk instead of driving for short distances, take stairs instead of elevator. Stay in gym clothes and sneakers as much as possible so you have one less excuse for going to gym or for walks. Make home fitness friendly with a trademill, some free weights, a soccer net and ball, a basket ball hoop etc. Get a bicycle, etc.

Hire a fitness coach if possible, even if its a high school or college athlete on minimum wage/hr as all you need is some structure and accountability.

Anonymous wrote:

Anonymous wrote:Are you in this area? GW has an excellent weight loss clinic. https://gwdocs.com/specialties/weight-loss-clinic

Fwiw, I did not have a good experience there, although it's been a few years. The nutritionist did not even look at the food journal I'd meticulously kept and then when I asked her to look at it she made an unpleasant face. Not helpful. The doctor was very nice but suggested I might not be in the right phase of life to lose weight, and, indeed, I did not lose any weight during my time going to the clinic.

Anonymous wrote:5’9, 45 years old, 322lbs. I’ve been heavy my whole life, but crossed over into 300s over the pandemic with a 40lb weight gain.

No preexisting conditions that I’m aware of, but I also haven’t seen my doctor or gotten blood work in the last two years.

My life is somewhat active with 3 kids, two dogs, a job and a household to maintain, but not as active as I’d like it to be. My legs are swollen at the end of the day and I’m just tired and not able to do the things I want to do with my kids like tubing, hikes, etc.

I’m ready to make a lifestyle change but frozen in action. I don’t want to deal with medical professionals who make me feel terrible for the size of my body or super restrictive diets.

Tell me where to start. Better yet, tell me the name of a medical professional who can help me. Thanks

Anonymous wrote:Are you in this area? GW has an excellent weight loss clinic. https://gwdocs.com/specialties/weight-loss-clinic

Anonymous wrote:

Anonymous wrote:If you drink any kind of soda or juice, replace that with water. That's a great place to start. I was 255 at 5'4", and I don't drink soda, juice or alcohol, so I started with snacks - I only had fruits or veg for snacks, with the exception of one bag of popcorn per week.

After a month of getting used to that, I cut all my carbs in half or less than half. Like, I looked at the serving size of pasta and used a measuring cup - turned out I was eating four servings at a time.

Then, I realized I kept interpreting "hunger pangs" as "pain." So every time I felt them, I reminded myself "You're not in pain - you're fine; you're just losing weight."

I stopped going back for seconds or thirds. Even at Thanksgiving, I had a plate with about 4-6 ounces of turkey (hard to eyeball it), a scoop of potatoes, a small bit of cranberry sauce and some greenbeans. I tasted a bit of my nephews pie and otherwise didn't have dessert. And it was ... totally fine!

I am at 205 now.

This is key and so hard to do.

Anonymous wrote:

Anonymous wrote:Join some group activity if possible.

I'm guessing you've never been fat, right? It's incredibly hard to join groups when you are. I did yoga for six months. The yoga instructor wouldn't correct my form, claiming she'd touched a different fat woman who got upset. I literally stared at her as I said, "We're not all the same." Everyone else in the class keeps glancing at you - partially to make sure they're at least doing better than the fat person, but also because it's amusing to see - like a hippo doing ballet would be. I used to cry before I headed out, and know of at least two times I called a friend and asked her to firmly tell me to go. Oh, and let's not forget people complimenting you for being fat yet being at a workout class.

Anonymous wrote:

Anonymous wrote:If you drink any kind of soda or juice, replace that with water. That's a great place to start. I was 255 at 5'4", and I don't drink soda, juice or alcohol, so I started with snacks - I only had fruits or veg for snacks, with the exception of one bag of popcorn per week.

After a month of getting used to that, I cut all my carbs in half or less than half. Like, I looked at the serving size of pasta and used a measuring cup - turned out I was eating four servings at a time.

Then, I realized I kept interpreting "hunger pangs" as "pain." So every time I felt them, I reminded myself "You're not in pain - you're fine; you're just losing weight."

I stopped going back for seconds or thirds. Even at Thanksgiving, I had a plate with about 4-6 ounces of turkey (hard to eyeball it), a scoop of potatoes, a small bit of cranberry sauce and some greenbeans. I tasted a bit of my nephews pie and otherwise didn't have dessert. And it was ... totally fine!

I am at 205 now.

This is key and so hard to do.

Anonymous wrote:If you drink any kind of soda or juice, replace that with water. That's a great place to start. I was 255 at 5'4", and I don't drink soda, juice or alcohol, so I started with snacks - I only had fruits or veg for snacks, with the exception of one bag of popcorn per week.

After a month of getting used to that, I cut all my carbs in half or less than half. Like, I looked at the serving size of pasta and used a measuring cup - turned out I was eating four servings at a time.

Then, I realized I kept interpreting "hunger pangs" as "pain." So every time I felt them, I reminded myself "You're not in pain - you're fine; you're just losing weight."

I stopped going back for seconds or thirds. Even at Thanksgiving, I had a plate with about 4-6 ounces of turkey (hard to eyeball it), a scoop of potatoes, a small bit of cranberry sauce and some greenbeans. I tasted a bit of my nephews pie and otherwise didn't have dessert. And it was ... totally fine!

I am at 205 now.