You must address 3 areas: (1) appetite
control; (2) blood sugar
regulation; and (3) metabolism. Get blood levels for leptin
receptors, and thyroid (incl.
, tsh, total t4, t3ria, rt3, and antibodies). Eat meals 3 x daily, keep calories <1400/d, chew food thoroughly before swallowing, and drink more water (e.g., 2l/d for 150#-200#, 2.5l/d for >200#, etc.). Increase activity (4 x weekly).