Answer:

I applaud your resolve to improve your health both for yourself and as a role model for patients. Any specific diet suggestions I might have would be like throwing any antibiotics at an unknown infection. You need to identify the cause of your weight issues so you can employ the correct intervention. So… it sounds like you rebound with the diets you’ve tried. Why is that? Sometimes people cite lack of time or money as an issue causing them to revert to old habits. Other times people may not feel worthy and self-sabotage or comfort eat. Preparing healthy foods takes effort – it has to be a priority. YOU have to be a priority.  As you are currently suffering from some weight-related issues, now is the time to act before your BMI further increases.

My whole-hearted and professional opinion is that you need to find something that excites you that you’ll stick with. Seek out whatever physical activity you consider fun! I have seen people doing yoga on paddle boards on a lake in Minnesota. Think outside of the box for what you can include that isn’t just because you are “on a diet.” Same goes for foods. If salads aren’t your game, look for recipes to incorporate more fresh produce in unique ways. Maybe a tropical smoothie or an authentic stir-fry. Start with small improvements to the areas you know are a problem – desserts? alcoholic beverages? dining out? Tackle one item a week to gain success. Losing even 5 pounds to start may improve your breathing and fatigue. Feeling better should be your own positive feedback loop that no external motivation can provide.

– Debbie J., MS, RD