Consider bariatric: Dietary changes alone for 6 months , expect 5% wt loss of 280# = 14#s. This is what diet will do for you at best: 14#s lost after 6 months of dieting. If you keep steady loss, it will take 3 years. If you do diet and behavioural changes: it may be 10-15%, so roughly 2 years. For what you are aiming (30%); bariatric surgery may be a realistic option.
Answered 11/27/2017
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