I have to lose roughly 150 pounds. How can I assure that I reach goal??

I am 5'5" and at my last doctors appointment, I weighed 279 pounds. I have probably gained a few more pounds since then and am waiting for my first consultation with my surgeon on June 29th. My personal goal is to weigh between 130-140 pounds. How can I assure that I reach this goal? I have noticed that people here lose a tremendous amount of weight, of which you should all be proud of, but many fall short of goal. Some by 40 pounds, some by 5, some by more, some by less. What can I do personally to reach my goal weight?

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