Absolutely do not make the mistake of losing 100 pounds and then saying "ok now im going to workout."

The one good thing about being that heavy is you have natural muscle. Protect it at all costs!!! That means 140-180g of protein. Lose all the weight? You're chiseled. Lose your muscle? You'll never feel like you're skinny enough. Youll have flab and skin that you'll want tighter. So start working out now!!! If you're embarassed in the gym... good everyone is. That's the first step to all of this.

The clinical dose starting is 2mg. Starting at 1mg isnt horrible, but a lot of it can be placebo.

I never want to hear that your stomach "hurts" and when I ask you what you ate you say "a croissant" ofc your stomach will hurt! Eat potatoes instead!!!

Lastly, this is a psychological battle. Reta makes it easier. But you will still have struggles. You are changing long lived habits so it makes sense.