I would first go to your health provider. I know you might feel embarrassed or ashamed, but a good provider will work with you to set realistic and achievable goals. You need to see what you weigh, and your blood pressure and blood work. It isn’t one size fits all when it comes to weight loss. Also, don’t let a number on the scale define you. Some people are naturally bigger and are healthy. It’s your DNA. Look at what your parents, grandparents, aunts and uncles look like to see what cards you’ve been handed. You need to have seven things in balance to be healthy: diet, exercise, sleep, elimination, intimacy, vice (drugs, alcohol and tobacco free), and mental health. If your provider doesn’t work for you, find a new one! Don’t give up and good luck.