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yea I had buyer's remorse the first couple of weeks - but that ended quickly. I had my 10 years ago and it was the best decision I've ever made.

Oh man, this is tough! I'd love to hear what others think, since if I was great at this, I wouldn't be in the same boat! That said, I will throw some ideas your way. 😁 Fundamentally, what we're talking about here is NOT forcing someone else to change, since that's impossible. Instead, what we have to do is help them realize that THEY need to make a change. I think there are a couple of models that would be useful to understand. This first is called the "Health Belief Model". This states that it's underlying beliefs and emotions about health behaviours and health risks that influence a decision to make a change. Beliefs about health risks are further influenced by the individual's perceived susceptibility and their understanding of the potential seriousness of the risk. For example, if you believe you are at high risk of a heart attack or stroke and you believe these are potentially life-threatening events, then you are much more likely to think that you need to make a change. The other key factor is your beliefs about health behaviors. Let's say you want to do something about your heart attack risk. You'll evaluate various health behaviors and will consciously or subconsciously grade them based on your own beliefs about the potential benefits of a specific behavior, as well as your beliefs about any barriers you foresee. An example might be acknowledging that a better diet would help, all the while highlighting all the reasons you can't change your diet or why it's too late for you to change. The takeaway for any of us trying to influence loved ones to change is that we can't actually force the change. What we can do is help them see the risks and benefits of changing, all the while also helping eliminate any barriers they see. The second model that I think is worth thinking about is called the "Transtheoretical Model of Behavior Change" (often abbreviated TTM). Some of you may have also heard of this one called the "Stages of Change Model". The basic idea is that there are several major stages we go through in changing behaviors. In order: Precontemplation. At this stage, the person is either unaware, or under-aware of the problem (or believe it can't be solved). If the person is at this stage, about the best you can do is help them see the need to make changes. IMO, this works best if it's subtle. Maybe it's talking about the coworker that just had a heart attack. Maybe it's pointing out a news article you found interesting about a health topic. Maybe it's just modeling healthy behaviors so they have a reference point. Again, keep in mind that you can't force the change and telling them they need to change won't work either. It has to be their idea. You can only help them see the need to change and help them clear barriers. Contemplation. If they are at this stage, the battle is almost won. Here they are aware of the problem and are thinking through the pros and cons of various changes. At this point, they really don't know what to do to address the issue yet, so they may be ready to seek out expert advice or support. One of the best things I personally think you can do at this stage is help them find this additional support. Keep in mind that even if you are an expert in diet, exercise, or whatever, help and opinions from an outsider are often valued much higher. Preparation. This stage is when they actively start trying to make plans to change, but have not actually made any changes yet. My best advice here is to make sure they start small because a lot of people try to overhaul everything at once and it's just too much. Slow, sustainable changes are always going to work best. Action. Here they've actually started to make changes. It's really easy for them to get derailed here, so they're going to need your support to stick with it. Maintenance. At this point, the changes have become habit and are much more likely to become permanent. What they need from you at this point is encouragement. Relapse. This isn't inevitable, but preparing for it is worthwhile. (And see, this even comes back to the original topic! ) Obviously if this does happen, being there to help them work through restarting is imperative. Even if they don't relapse, it can be useful to do some thinking ahead of time about what sort of things might derail their new health behavior and then making plans ahead of time to keep it from happening. For example, holidays, travel, or being sick or injured are common examples of things that can cause relapse even in someone that's been successful for a while. Happy to explore more specific ideas, but this post feels overly long already! Best of luck!

I realized I never shared my "Jambalaya Soup". Yes I realize jambalaya isn't actually soup, but it had a lot of the same ingredients, including cajun spices, so I took a little liberty here. If you're Cajun or Creole, please don't come at me!

I curious where the idea came from for this? Also, just from a scientific perspective, it seems odd to me to make so many changes all at once since it will be impossible to determine if only some of these changes are actually making any difference, or if some of these may be detrimental, while others are beneficial. For example, we know pretty conclusively that increased sleep is hugely beneficial to weight loss and better health overall. I think at the end of your experiment you won't be able to tell what changes you might want to make more permanently vs. which changes didn't help and can be safely ignored. Just my thought so far. Regardless, I hope it helps you.

Chicken marsala, roasted potatoes & sauteed Brussels sprouts with onion & bacon:

Maple garlic glazed salmon, mixed vegetables and mashed potatoes

Thanks for clarifying. This may become important if you do go down the surgical route. You didn't say where you live, or what it might look like in terms of paying for surgery, but this may also play a role in your decision-making. What I mean is that if you're in the US, whether or not your insurance plan covers weight loss surgery is an important thing to note. Almost all insurance plans that cover surgery also require some prerequisites that may include a history of previous weight loss interventions. Of course if you're not in the US or you don't have coverage with your insurance plan, then YMMV. @summerseeker makes an important point for you to consider as well. ALL medical and non-medical interventions for weight loss work by reducing calorie intake (for the record, I'm including malabsorption in that bucket since it also reduces the number of calories you functionally have available for your body.) Whether it's surgery, pharmaceuticals, or specific dietary plans, they all work by creating a negative energy balance. With that in mind, it's not so much which is "best" for everyone since they all can work, it's about which is best for you individually to safely lose the weight and keep it off long term.

I should say it's not such a recent issue. I was borderline obese by 2016 weighing 186 pounds (I should have mentioned that). But by 2022 I gained almost 45 pounds in a year out of nowhere. Before that the weight issues was more creeping up on me It went something like this: I was 150 pounds at 18 years old. By 21 I was 160. By 25 I was 180. You get the picture. Something like ten pounds d year gained no matter what. But then at 32 and battling COVID my weight exploded and it wouldn't come off. Nearly a 50 pound gain. I had long COVID and couldn't exercise for five months but didn't eat any different but the damage was done. That weight wasn't coming off for nothing even after I recovered. And it worsened my asthma horrendously. Just the COVID but gaining so much weight. That's why I had no choice but to starve.

I differ from what SpartanMaker says, I wouldn't try any more of the options that are out there. Obviously you first need to recognize that obesity is a disease and it never goes away. You tried to starve yourself to death and the body will automatically save every morsel you put into your body and store it as fat, especially on a 300 calorie diet. Increasing the calories is not necessarily the fix either, you need to look at the foods you are eating. Is it protein heavy or are you still eating salads, which are carbs by the way? Are you thinking that a baked potato is a veggie, it is not it is a carbohydrate, then add all the stuff you put on the potato. Diet wise, you may be choosing the wrong foods. And certainly the amount. You passed out probably because your glucose levels went into the basement with such a low calorie intake. I agree with SpartanMaker, and seek out a Bariatric center that has a whole host of options. Surgery is a tool that the obese person uses and it is a life long commitment to make lifestyle changes. You may need to see a therapist and nutrition expert both to help you, and maybe they have other options other than going straight to surgery, but for certain I feel you need better education on what is an appropriate "diet", and not all "diets" are really diets but ways to spend more money that is just wasted. You obviously have the willpower and stamina to take hold of a new life, it won't hurt to inquire. I would also urge you to watch some of the YouTube videos from BariNation, they have Podcasts with bariatric physicians and other healthcare providers every week and most recently there was discussion about Obesity being a disease and using something other than weight or BMI (Body Mass Index) to determine if someone is obese. My plan has always been to go the cautious or conservative route first. In my case I jumped right in and happy for it. I had an excellent surgeon and team that all worked together to ensure I had a good experience and did. Never had any pain with my surgery, and have had good results so far and today is Post op week 3, day 1. I wish you the best in your journey to seek out further information and a good bariatric group!!

At the end of the day, no one here can tell you if it's right for you. Keep in mind that obesity is a disease and it definitely needs a treatment plan, just like your other conditions. The right treatment for any given person varies based on a lot of factors, so don't automatically decide yourself what the right treatment should be. The best thing for you to do is seek out a GOOD bariatric center that has lots of options available to you and not just surgery. Personally, my gut tells me that it's too soon to go this route since obesity is such a recent issue for you. I'm not a doctor, and certainly not a bariatric surgeon, but just thinking through how recent this obesity disease is for you, I personally would want to try some more conservative treatments first?