In February 2025, I went to my wellness exam for the first time in at least seven years. My appointment was with the nurse practitioner (NP) of an internist I had not yet seen. The first shock to my system was when I stepped on the scale: 345 pounds. At 5'10", that placed my BMI at 49.5. The first thing my NP said was, "Tell me about the history of your weight.” I had been athletic in my teens and twenties, but somewhere along the way, I had lost control of my weight, and in turn my health. The second shock to my system was when I received the results of my blood test. My A1C was 13, my