I was 257 at my heaviest, right around the time I came for my first appointment with Dr Jane. I wore size “22 Wide” pants. I felt terrible, every day. Getting up was hard, sitting down was hard, my joints hurt so I couldn’t exercise and I was on narcotic pain meds. focusing on the diet discussed with Dr Jane and I began losing weight immediately. No pills and no excercise and I was loosing weight. The weight loss was steady and consistent.  Eighteen months later, I reached my lowest weight of 135 lbs. I got off my pain meds and blood pressure meds.