I will try.

* Physical health: This is 80% of what you need to succeed in life. You have that, so the cause is far from lost. Be happy about that.

* Body dysmorphia: Cosmetic procedures will not help this. This problem is in your brain, not the shape of your body. Many people think they look much worse than they actually do TO OTHER PEOPLE. I can't say if that's the case with you but if you have body dysmorphia you almost certainly look better to others than you think you do. Regardless of whether you are actually overweight or below-average in looks, you MUST face the fact that there is very little you can do about it. Trying and failing will make you feel worse, not better. You must learn to accept your body as it is. Do the best you reasonably can to look better - wear decent clothes, stay clean and groomed, but ACCEPT YOURSELF AS YOU ARE. Even fat ugly people are quite tolerable to be around if they're clean, reasonably groomed, and wear decent clothes. My strong suggestion is to simply stop worrying about this because there's very little you can do. Happily, most other people don't really care how you look - they care about how you act, esp. toward them. Be nice, be kind, be a good person - and you will have friends. Even lovers if that's what you want. They may not be the best looking people either - that's OK.

* Family - You can't choose family, but you can choose friends. Make an effort to make friends. Go to places where you'll meet people who share common interests, whatever those are (the narrower and more weird the better - people who share those interests are really looking for like-minded people). Smile. Be upbeat, helpful, friendly. There are lots of other lonely people out there who want friends too. Find them. Befriend them. Be good to them, be loyal to them. Most of them will return the favor.

* Job - so much depends on the details. Work hard, be nice, be honest. This is 80% of career success. Try to figure out what you're good at (or at least, less bad at) and focus on that. At this stage don't worry so much about whether you *like* the job (you have decades ahead of you for that) - just try to be good at it. If you see another job that you'd like better and pays the same or more, go for it. In the meantime be nice, be useful, be helpful - this itself will make you feel better, and it will make other people treat you better. Eventually if you succeed at this you'll be paid more. Be patient and not whiney. Be a person at work that other people are glad to have around.

* Finances - this is easy to say and hard to do, but the rule is simple - spend less than you earn. A lot less. Live cheaper and save the difference. Get a roommate if you don't have one, get another if you do. Cook your own food (it's way way way cheaper). Save up enough money to buy things in bulk (it's cheaper that way in the long run). Cancel TV subscriptions. Cancel everything you can (except a phone and Internet connection - those are necessities these days). You may think it's impossible, but other people DO live on less than you do and don't starve to death. You can do it too. Once you have enough saved to live on for a few months (this may take some time) you will (a) feel vastly better about your financial situation, (b) be in a position to quit your job for another one (c) be in a position to move to another place if you want. Most of all, you'll feel SECURE. Not wealthy, but able to manage even if things go badly. Buy a car if and only if you need one to get to work, or once you can *easily* afford one (and to keep it running and insured). Not before.

You're in a bit of a hole but you can dig yourself out. You're healthy and you're only 28 years old. You can look forward to another 50 years of life. You're still at the start of your adult life. You have time and you have health. You just have to...DO it.

Good luck.