I am physically disabled, use a wheelchair when I can't walk, but the disabilities were due to my being in the first Persian Gulf war. I have worked with many a physical therapist and personal trainer, diets, more diets, etc. and even a medically supervised plan. If "just eat less and exercise more" would work, I would do it. I have a disease where my joints will dislocate if I move them too much. Repetitive motion dislocates my toes, ankles, knees, shoulders, fingers, hips. I can't do weight lifting, can't run, can't walk but to the mail box. I can walk in swimming pools and I do that.
I also binge when I am depressed. I eat emotionally. I eat to comfort myself. PTSD and depression are big parts of my life, but I am medicated, supported and loved. I recently got high blood pressure, they are testing me for diabetes, and I have been having so much chest pain that I now have nitroglycerine on hand. My health is going fast down the toilet. I have to make big changes and YES I am highly motivated to change. I don't want to die or live with obesity-caused diseases. I already have a laundry list of diseases. I take 23 pills twice a day now.
Oh yes, it does not surprise me that there are no bariatric surgeons in New Mexico--we have a low population, it's a poor state, and the paychecks in NM are low, so no doctors come here when there are better jobs elsewhere.
Cin, I am glad you are able to exercise when you want to, and in many different ways. I simply can't do that. My perspective is different from yours. I know that you meant no offense toward me, you don't know me, and you didn't have all the facts. I appreciate everyone's advice.