Mine came in three instances:
1) Not being able to fit into the suits I now need to wear for the job
2) Sweating when one of the escalators was out in Grand Central Terminal in the North Entrance and having to walk up the stairs
3) puking into a garbage can on the bench during a hockey game after a hard shift
All of these happened in the same week in 2010. At the time I was 255, I'm now down to 230 and have resting pulse rate of 46.
I attribute this to getting my ass on a bike and riding at least every other day, and I now have found another expensive hobby that is an absolute blast!
:-)