So I just finished with my last patient for the week, and it was a good one. Guy has been my patient for 13 yrs. (he is 60yrs old) When I first met him, he weighed around 400# and had just had back surgery. Diabetic, hypertensive. Really unhealthy. About 6 months after surgery, I started talking to him about diet changes and exercise. He has bad osteoarthritis and was not a surgical candidate because of his other risk factors. So he sucked it up. I see him every 3 months and we weigh each time. Today was the first time he was under 300#. Down to 295#, he has lost 10" from his waist. He walks 3-5 miles a day and is back working full time. I could not have been prouder. He is a proud grandpa, and that has been his added incentive to lose more. He said today that this is the first time he's been under 300 since he was a teenager.