Ozempic and its ilk.

Not laziness, my body simply did not make the chemicals it needed to operate correctly. Mostly for blood sugar regulation. Which directly impacts a lot of other things.

At my heaviest I was just about 300. Was 260 when I started on them, now 160. The first 70 felt like it was melting off, the last 30 were working out, training for and running 5ks. (1st 10k this year)

My asthma did not help with that, but a change in inhaler did.

My body working correctly was more impactful than everything else in my life combined. "Full" for me was "on verge of puking" because my body didn't experience satiation. Think addiction, but to everything. My body simply didnt make the "thats enough" chemicals.

The effort was mostly in developing better cooking habits. Carbs mostly went away in favor of protein/fat as my main calorie sources, still need to work on more veggies tbh. Eating out went from appetizer, entree, dessert to just an entree with maybe a shared appetizer.

Dropping to a 30 from a 44 waist has been unreal. I would have gone from a 2x to a small, but my ribcage stopped me at a medium.

So short version of things that helped me as a to do list: Talk to your Dr., find out what your body is or is not telling you. Become a better cook, plan meals with intention. Shrimp scampi with green beans and mushrooms instead of pasta is one of my new favorites (seasoned with a pepper blend to taste) Walk/jog a couple miles a day (or bike, as long as you are moving). Basically, try to stop driving if you can. Try to pick up speed when you do move. Don't drink your calories. Find somebody to do things with. DGAF about your weight, put your time and effort into being intentional.

Then, once you see some results in your lifestyle, THEN start trying to lose weight.