Mine was a routine DR visit. I was in for something unrelated, and I got on the scale and it read 296. I decided that I needed to make a change. Luckily, my company was starting a Naturally Slim program in a few weeks as a healthy employee initiative. I applied, was accepted, and lost 31 pounds on that.
Then got laid off, put 15 back on due to depression and such. Got back on the horse and lost down to 249, got laid off a year and a half later, put 10 back on, and after a month of hammering it I've dropped that again. Scale today said 249.2