I'm not sure where to post so I apologise if this is the incorrect place in advance. Sorry that I'm not sure how to add trigger warnings or etc.
I've struggled with my weight since I started binge eating during my traumatic childhood. I've been overweight (BMI around 27-29) until I went to medical school. I particularly ballooned after I got raped in my early twenties and have stagnated around BMI 45. I tried hard to lose weight when I was younger and managed to lose up to 20 pounds or so. I tried half-heartedly since I ballooned but have struggled to survive with no money and depression up until recently.
I'm a young doctor and finally had to means to seek a private opinion regarding weight loss surgery last year as I knew that weight loss over 100lb has a low % chance of maintenance. I was refused due to my binge eating disorder, psychiatry history (depression and anxiety) and a lack of support network. The bariatric surgeon suggested fasting drinks, a private dietitian and getting psychiatric help. There is no provision for specialised weight loss services through my health care provider (NHS or private) as I'm not a type 2 diabetic yet.
I managed to get well from a psychiatric perspective with a medication change from a psychiatrist and had counselling which touched upon my binge eating. It has improved since I finished this April but I've slipped as I'm currently working on a COVID area and am burnt out from work.
My weight seriously gets me down and I know it reduces how much people respect me professionally and has stopped me having any meaningful relationships with the opposite sex. I know losing it will massively improve my quality of life and mood.
I really want to start trying to lose it naturally since I have no other options. I know no one in real life who has lost significant weight to get advice from.
Questions:
1.) Is natural weight loss of over 100lb possible to maintain?
2.) How would I go about such a monumental task successfully?
3.) I know most of weight loss is food over exercise? But what sort of ratio? I can't jog or run as it ruined my knees even when I was only 20-40lb overweight? Is just brisk walking adequate for now?
4.) Have any of you benefited from seeing a dietitian?
Thanks very much in advance.
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