A 26 year old male recently came in for his first visit.
He was 6 foot and weighed exactly 300 pounds.
He was married, had 4 daughters and a fifth (the ultrasound had confirmed another girl) on the way.
He worked and they were living with his in-laws in order to save up some money to try and buy their first home.
He reported that he and his wife had a great relationship and that they got along great with his in-laws.
He medically retired from the military one and 1/2 years ago, when he weighed 223 pounds, due to knee problems.
He had gained 77 pounds in approximately 18 months!
I let him know I would do everything possible to help him.
We talked about many approaches to weight loss, including the obvious; diet and exercise (I never include gastric reduction options initially).
I let him know he had a stressful life and it's great he works hard and is a family man.
I decided to keep things simple to start.
His only assignment until the next appointment was as follows:
#1. Buy a scale
#2. Do NOT gain any more weight.