How can I lose 150+ pounds with PCOS + rigid thinking?

Hi all,

I am a 26-year-old woman. I come from England. I am half Caucasian and half Asian. I am 5 foot 9.69 inches. I weigh approximately 166 kg (365 lbs). I have a few health issues such as PCOS (which I believe is the main contributing factor to a lot of my weight gain) and because I have autism, I have rigid thinking patterns. For example, I feel like a lot of things are 'all or nothing'.

So, I have gone through stages of starving myself in 2015 for months and only having bad food once every week. Then, since around 2017, I have let myself go and thought "fuck this, let's eat whatever I desire". I feel like I have lost all accountability of my eating, but for me it's easier to just eat anything than to make a positive change. But then I realise that I am still quite young and that I have a life to live. If I lost weight and maintained a healthy weight I could do so many things in life and just feel so much better.

I have been morbidly obese for a long time now. I was a healthy child until I hit puberty. Since then, the weight kept piling on and on and on. That was until 2015. I thought I can't live like this and then I lost 56 lbs from January 2015 to August 2015.

Then in 2017/2018 I really let myself go and thought I don't care anymore. I went through a lot of bad stuff with potential relationships with men that didn't materialise, to getting an autism diagnosis and realising the reason I struggled so badly in life and at school was because I had undiagnosed autism.

Every year I said I would lost weight and make changes. I have made some such as not ordering on food delivery websites and getting fast food delivered every day. Even though I get takeaways about 3 times a week now.

I am constantly hungry. My mental health has been stable for a while now, yet I am still always hungry. I am concluding it's the PCOS. I am under a weight management clinic and they offered my the weight loss injections, but realistically I cannot have weight loss injections forever. I really want to try and lose weight by myself without intervention. However as soon as I think about let's say McDonald's, I crave it and therefore want it. I did try to do a thing with myself that I only get fast food or whatever I fancy when I'm in the town centre. But then I think how can I learn to cope without my old habits of eating junk food everyday?! As soon as I think about tasty food it's almost like I cannot help myself and order it.

Also, if I'm aware that I am meant to be losing weight and not eating rubbish, I crave it even more. It's a hard situation I'm in because I feel like I cannot cope without my food.

I've really got to start taking responsibility for what I eat. But the cravings are sometimes so intense that I feel like I have to act on the craving. Also, with the excessive hunger, as soon as my stomach rumbles I act on that too by eating. However, sometimes I am hungry but full at the same time!?

I wanted to get a leptin test but they are hard to come by in England and I don't think the doctors will refer me.

Has anyone lost 150+ or more with PCOS and these sort of thinking patterns that I have?

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Feeling stuck with weight loss and motivation looking for perspective

I’ve been trying to be more mindful about my eating and movement, and while I know progress isn’t linear, lately it feels like things have slowed down a lot. I’m still showing up and not giving up, but mentally it’s been harder than I expected.

Some days it’s tough to tell whether I should change something or just stay patient and trust the process. I know everyone’s journey looks different, and comparisons don’t really help, but that stuck feeling can still get frustrating.

For those who’ve been through this phase before, what helped you stay consistent when progress felt slow? Not looking for quick fixes, just real experiences or mindset shifts that helped you keep going.

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Taking a victory lap because I don't have anywhere else to brag

I got a Polar H9 today, did the test to set it up and it gave me a VO2max of 52. I'm a 41 year old male. This was more exciting news to me than any weight loss goal I had from 500 down to 180, maybe even including when I found out I could get my first 2 skin removal surgeries done. It said 95th percentile for men my age, with the cardiopulmonary health of a mid-20s male. All those years of treadmilling summed up in that one moment. I'm not even at my final stop yet since I have some fine tuning to do after my surgeries.

For anyone else out there, you don't need to run to improve cardio health. I only ever walked until I had my stomach/chest and arms/legs/upper back skin removal surgeries. Just kept upping the elevation and speed to keep pushing myself. Now I'm at 70 minutes a day of 3.8mph, 15% incline(plus 15 min warmup/cooldown), working in some 4.3mph jogging for a few minutes at the end. One step at a time!

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65 lbs weight loss advice

I’m an 18-year-old male weighing about 255 lbs, and I want to lose as much weight as possible by February in order to be more competitive for a Navy scholarship. I’ve been wondering if aiming to lose around 65 pounds in that timeframe is realistic or if it’s too aggressive. I’ve already started working out every day of the week, usually anywhere from 45 minutes to as much as two hours, and I’m fully committed to putting in the work. My concern is whether pushing for that much weight loss in a short period of time would actually hurt me physically or negatively affect my performance, especially when it comes to running, strength, and overall endurance. I want to improve my fitness, not just see the number on the scale drop, and I’m trying to understand what a challenging but healthy goal would look like given my age, size, and timeline.

At the same time, I’m looking for advice on how to make the most progress possible between now and February, even if 65 pounds ends up being unrealistic. I know that working out alone isn’t enough and that nutrition, recovery, and consistency all play major roles, but I’d appreciate guidance on how to structure everything effectively. My goal is to lose as much fat as I can while maintaining strength and improving my cardio so I can perform well on Navy fitness standards and show real improvement. Any suggestions on training balance, diet approach, or mindset would help, especially from people who have gone through a similar process or prepared for military programs. Even if I don’t hit an exact number, I want to be able to say I gave this my full effort and made meaningful progress by February

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NSV I am grateful for this Christmas

Even tho I am still overweight, (even after 135lb weight loss) I am grateful I can walk thru an airport without huffing and puffing, and taking rest breaks along the way.

1. I stood in a long TSA line and my bones and body did not experience discomfort.
2. I walked a long way to my gate without taking rest breaks along the way, nor was I out of breath.
3. I took the stairs instead of ramps.

Prior to May 2024 none of this would have been possible....including flying!

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I’m not an expert

I’m sorry if this has been stressed already, but how important is it that I eat my full allotted calories?

I’m asking because, I don’t each much to begin with, my normal is 1 meal a day, maybe 2 if I wake up early. But I don’t have that big of an appetite and don’t enjoy forcing myself to eat if I’m not hungry. I’m 25, 5’2” weigh 194 pounds, trying to get down to 130.

Myfitnesspal is saying I have 2056 calories to eat, it’s currently 8pm I’ve finished dinner and I’m at 877…. I’m not hungry, I can’t snack. Does this slow down my weight loss by not eating all 2k calories?

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Plateau of weight loss

Reddit post

I have been losing weight for over a year. I have responded well to being in calorie deficit I have almost reached my goal weight , about 10 lbs away from it.I lift weights 3-4 times a week. I have a highly physically active job comparable to heavy construction. For the past few months my energy levels have been very low. The last couple of months at work my energy hasn't been enough for me to complete a day without lightheadedness and dizziness. And irritability because of low energy. I don't have enough energy to complete a day because of the physical demands and energy requirements. To remedy this I have found by trial and error that in addition to my breakfast protein smoothie, about 5-6 pieces of toast with cheese are needed to last the day, without any discomfort, dizziness and lightheadedness. After work I am careful to limit my calories as breakfast is about 1309-1400 with 5 pieces of toast and cheese. I try to keep my calories under 2000 for the day. My BMR is 1600 calories. I have put on 4 kg in the last couple of months even though I am in a calorie deficit. I can't reach my goal weight nor explain this slow weight gain, even though I am eating in a calorie deficit in trying to reach my goal weight.

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