Mr. M. is 60 years old, 5'9" and weighs 493 pounds.
His BMI is 72.8.
He wishes (and actually needs) to have an elective surgery performed.
He was told by the Plastic Surgeon that he requires a BMI of 38 or below before he will be a candidate for the surgery.
He will need to get down to 258 pounds or less-he needs to lose 52.3% of his current body weight.
I'm not sure he really has any idea just how difficult a task this will be to accomplish.
I decided that now was not the time to remind him of that fact.
He needs to just take one step at a time-even though each step is painful due to his severe knee arthritis.