Alright so I have been lurking around this thread for long enough and I now think it's time for me to become more active; it's a new year and I need to start doing things differently.
So let me start off with a little backstory; I'm 23 years old 6' 3'' and about 335 lbs. Live in Queens, NYC and currently working a bullshit customer service job. I'm the big guy among my friends, not really obnoxiously fat but tall and big (friends call me Big B LOL!). I don't necessarily mind being a big guy either. There are really only a couple reasons why I want to lose weight:
1. Health - I've always felt like a skinny guy in a big guys body. I know I can push myself to do things that I shouldn't be doing at my weight but I do it to prove that I can and in the process hurt/embarrass myself. Sometimes simple things like climbing 2 or 3 flights of stairs has me panting and I know I can go farther than that. I honestly already feel like I am a healthy guy but just out of shape and I really want to be an in shape big man.
2. Clothes - As trivial as this sounds, I want my clothes to fit better on me. I always have a vision of an outfit I'd like to wear when going out but I can almost never find the right clothes in my size and it frustrates me so much. I know I'm a good looking guy and I know how to dress to well everyday if I had too but I just simply can't find the clothes to do so and I just won't shop at Causal Male XL or another store similar to it.
3. And probably the most important reason is this one - Gynecomastia - for those who may not know what this is I would suggest you Google it; short version is man boobs. In my case though it is quite severe, and I'm not just saying that because I am embarrassed and I'm being over zealous in my description, I mean literally breasts on my chest (ha that rhymes). I've had this condition since I was 13 years old so for basically the most important time in a guys life I've had to deal with this. It's probably the worst thing that I have ever had to deal with. Only 'cure' is to have surgery and I want to avoid any chance of it coming back or not being happy with the results.
So there you have it GAF...I need help. I don't really want to go on any type of diet that isn't long term. I am really trying to change my life here. I'm the type of guy that needs details so I would appreciate that instead of the run of the mill 'diet and exercise' post or 'eat right'...what have you done specifically that helped you lose the pounds? How did you stay focused even when you were at work? Any comments, questions or suggestions are much appreciated.
First things first, be real with yourself. At 6'3 335 lbs you are class III obese. This is very, very unhealthy, and when you lose it all and get to <200 pounds you will look and feel like a completely different person and your quality of life will improve dramatically, now and years down the line. You don't want to have type 2 diabetes, you don't want heart failure, you don't want to be disabled in twenty years and need a motorized wheelchair. Bring that to the front of your mind, accept it, and focus on changing it, because it can be changed 100% for certain and lots of folks here have done it. Sometimes in six months, sometimes in two years, depending on how much effort you put in, but it's doable.
There are many, many ways to improve your body composition. You'll need to figure out what you have the willpower for and what you can stomach in both nutrition and exercise in order to get there.
Make a list of everything you eat and drink in a typical day and your level of activity in a typical day, if possible. We'll look it over and explain what got you to where you are, and what needs to change in order to drop the weight.
In the mean time, I'll tell you this: don't drink anything with calories in it. No soda, no fruit juice, no alcohol, no energy drinks. Drop it all. Go with artificial sweeteners if you must, or water + unsweetened tea + whatever else that works for you as long as it is calorie-free. For most people who get to your size, the sugar waters are a huge part of it, and when you drop it all you will probably lose a bunch of weight from that alone. Sugar and alcohol are metabolized directly into fat, and they mess with your sense of satiety, meaning you're getting a bunch of extra calories AND you're also eating more food than you would otherwise. When you cut out sugar water you may have withdrawal symptoms for a week or two, but you'll adjust. Watch this vid for more info or read the wikipedia entry on fructose:
http://www.youtube.com/watch?v=dBnniua6-oM
People are typically the most successful with weight loss via a low carb diet. There are many variations. I've done several months of ketosis (staying under about 20 grams of carbs per day, getting plenty of fiber from leafy greens, and otherwise mostly not restricting anything else), I've done low-moderate carbs while staying in a particular calorie/day range and exercising daily. I've done low food reward. I've counted calories. I've not kept track of my macros or my calories but spent all day hiking. All of it kept me in the right direction. The only thing that doesn't keep me in the right direction is not giving a shit. Understand what is actually bad for you: sugar, refined carbs like white bread and pasta, alcohol, calories that don't contribute to you feeling full or feeling full for very long, and you'll be on your way.
How does the typical American get fat from fast food? It's really not the big mac, though I'd avoid that crap anyway since it's prepared so nastily. They get the burger and the fries and the soda. I was just over in NYC where they show the calories on the menu at most restaurants. Five Guys bacon cheeseburger, double patties and properly equipped, is like 1000 calories. Fries are like 1000 calories. Large soda is upwards of 1000 calories. Those fries and drink are some of the worst possible shit you can ingest, and yet they're not even satisfying compared to the burger, they're just filler, super easy to remove. I'll have the burger and a bottled water and, there you go, I've had 1000 calories, not the healthiest in the world but I'm satisfied and can go about my business. Don't eat those fries and absolutely don't have the soda.
What I personally think is a good approach is to do ketosis for as long as you can stay sane doing it, which is a temporary muscle-sparing extreme fat loss approach, then the rest of the way, as a long-term life-changing sort of thing, make better decisions about stuff like what you're drinking. It's hard to exercise when you're fat. Do what you can.
You probably don't want to run at that weight, your joints will hate you for it, but you can do things like sprint intervals on the stationary bike or elliptical. Sprint intervals are where you do 100% max effort for about 20-30 seconds, go as hard as you can, and then a very low pace for 2-4 minutes to recover, then do the sprint again, with 4-7 total intervals. You may not want to start with this right away if you're completely sedentary, do some low intensity sessions first to get into the groove, but it's been shown to massively boost athletic performance and promote weight loss, without as much of a time investment or the joint problems associated with long distance cardio.
Strength training's also great. The more lean mass you have, the more your basal metabolic rate is (the amount of calories you're burning just by being alive), and when you weightlift your body is expending energy rebuilding itself for a good 2-3 days afterward. If you're comfortable with weightlifting, go for it. If not and you want to try, read the OP of the fitness gaf thread to find out how to approach it:
http://www.neogaf.com/forum/showthread.php?t=431741 . If you're uncomfortable with the idea of heavy weightlifting, you can also do bodyweight exercises to get some benefit. Try three sets of: (pushups, body squats, crunches) to failure, three times a week. Your weight is probably too high to be able to do any pullups at this time, but if you happen to be able to, pullups/chinups are awesome. This alone is not going to make you fit, but it'll help you along.
Try walking places instead of driving. Not every time, but just go. 30-60 minutes of walking per day can reap huge dividends when you're fat. There are so few fat Manhattan residents, and people there aren't living on celery by any means. They're just walking to places instead of driving. Use public transit when possible and walk.
Make sure you get enough omega-3 fats. Take a fish oil supplement if you don't eat fish regularly. It's probably the best possible supplement almost anyone can take, and one of the benefits is that it promotes additional fat loss when you exercise. As human beings our omega-6 to omega-3 ratios have gone completely out of whack since the meat and eggs and whatnot we eat aren't sourced from animals that are grass fed (animals eat grass and algae = they have omega 3 fats in their bodies), and we eat a ton of shitty processed crap now. Get your ratios back in check by ingesting more omega-3 fats and your body functions better: better psychological health, better functioning cardiovascular system, and greater white fat loss when exercising regularly, by far.
Feel free to ask the folks here questions, lots of successful people. Me, I'm down from 6'3 300 lbs in the summer of '09 to 190 lbs today, and still working on getting to the finish line, but it's a hell of a difference and you won't regret putting in the effort ;b.