I don't really know what to say.  As a child, I was thin.  When I went through puberty I put on some pounds.  I then grew taller and became active in sports.  I married my husband when I was 18 and was average with my weight.  I starting putting on the pounds after having my daughter.  I could never seem to shed those pounds.  After 5 years of trying to have another baby, I went to a fertility specialist.  My weight was making infertile!!! Finally I had another baby!! I was unhappy with my weight and used my weight as an excuse to not do something because I was embarrassed.  I knew I was a big girl, but it took pictures to see how truely big I was.  I went to the Dr to get some more info on weight loss surgery.  My PCP told me to diet and exercise because weightloss surgery was not for me.  I weighed 287lbs.  He did tell me that if I did not lose the weight, I would be on the liver transplant list in less than 5 years.  I was not happy with that answer so I switched my insurance to standard and called a bariatric surgeon without needing a referral.  I met with Dr. Nye and the rest is history.  I lost 170lbs in about a year and all my co-morbs have disappeared.