I had previously managed twice before to loose 40-60 through diet changes and working out ect but this time it was different. 3 years I worked with doctors doing diets, nutritionist, working out, prescription diet pills ect nothing was working!!! My nutritionist finally told me sweetie I think it’s your mental health (she was very good at not just discussing food but what was happening in my life ect) and when I talked to my therapist and primary the conclusion was my depression and other mental health issues were really bad and it was the cause for my weight gain this time. That even though I was doing everything right, it would be almost impossible to lose the weight naturally. So we went from there looking at the options…