I've just found this thread. I felt I had to make a contribution since this weight issue has been with me my entire life. My Mom put me on a diet when I was 3 years old. (I really can't blame her since my eldest brother weighed 30lbs at 6 months old and had a childhood of health problems which she didn't want for me). Thus began the yo-yo dieting, food obsessed, sickness-proned life I led until 2003 when gastric bypass surgery became the final option for me.
Believe me, I tried every diet that came along and sometimes I lost over 100 lbs only to gain those back and more. In the 1990's my doctor finally told me to STOP dieting and to stablize my weight somewhere before I killed myself. I stablized at around 265-280 which, at 5'2, was morbidly obese. Unhappy and getting more unhealthy, I found that I would lose at least 20 lbs when I was in Italy because I was eating much less prepared foods and fast food. I was eating meals prepared from scratch with fresh ingredients.
Late in 2002 I found that my blood sugar was elevated which would lead to type 2 diabetes. I was already on a cocktail of meds for HBP, arthritis, gastric reflux, and anxiety brought on by worry over health issues. This diagnosis was the last straw. He didn't mention any gastic procedure but I had a work collegue who was going to have gastric banding during the 2002 Christmas holiday. I asked my Swiss doctor about the procedure. He told me that he had patients who had successful results with the procedures and that there was a top surgeon right in the community. He also told me that my Swiss health insurance would cover the procedure. He asked if I wanted him to refer me to the surgeon and to begin the paperwork for the health insurance. He said I didn't have to commit myself but, if I decided to go ahead, everything would be done. I said yes. DH and I had long discussions and did lots of research. I saw the surgeon on Feb. 14, 2003. He recommended a bypass rather than banding after reviewing my history and medical tests. After more discussions, we decided that I would have the surgery on March 26, 2003. THIS IS MAJOR SURGERY WITH SERIOUS RISKS AND LIFETIME CONSEQUENCES. THIS IS NOT A QUICK FIX. And if your weight issue is rooted in other mental health issues, one can gain the weight back.
Now after 5 years, I've lost 125 lbs, do not have HBP, elevated blood sugar, gastric reflux, and anxiety. I still have knee problems from years of being obese and will probably require knee replacements in the future. I must take supplements for iron, magnesium, B6 and B12. I take tests every 6 months to determine the level of vitamins and minerals in my blood. I am lactose intolerant and CANNOT eat anything with refined sugar, high frutose glycose, or some sugar substitutes. Even too much natural fruit sugar will trigger the dumping syndrome (google that and you can read how much fun that is). And there are foods I can longer tolerate. I've found that that particular side effect varys with the individual. There is a lifetime price to pay for Gastric Bypass results.
I have also found that Paul McKenna's "I CAN MAKE YOU THIN" program helpful for my mental approach to food. GB changes your physiology but mental attitudes toward food remains. I know some cases in which people ignor their body signals and gain the weight back.
What do I recommend?
Avoid fast foods
Avoid prepared, convenience foods
Read labels for added sugars and salt (I am amazed at the number of canned or frozen food that contain sugar. For example, tomato sauce)
Avoid Starbucks' specialty drinks...can be loaded with sugars & fat
Learn to cook meals from fresh ingredients which can be fast, more nutritious, and CHEAPER
Don't follow a restrictive diet that cannot become a lifelong eating habit
You don't HAVE to eat everything on your plate, especially when eating out
Recognize "head" hunger from real hunger. Drink a glass of water and wait at least 10 minutes (20 is better), then decide to eat something
Understand your mental attitude toward food (when and why you eat)
Find an exercise routine that you enjoy and will make part of your life (quilting, unfortunately, is sedentary)[/list:u]
You can probably add to this list. Weight issues can be highly individual. Actually losing weight can be relatively easy. Weight loss maintenance is HARD.