10 Tips for Losing 100 Pounds or More

Experts offer advice for those with lots to lose

By Colette Bouchez
WebMD Weight Loss Clinic - Feature

Reviewed By Louise Chang, MD

When Lisa Goetze tipped the scales at 550 pounds, she wanted to put her fingers in her ears and scream "Stop!" every time a well-meaning friend advised her to start exercising.

"It wasn't that I didn't want to exercise,'" says Goetze, now a svelte size 14 and an American Council on Exercise-certified personal trainer and weight management consultant.

"No one understood that when you are very large, even holding up your body for a three-minute shower is a painful, and sometimes nearly impossible, feat. Walking around the block, it's just impossible."

For the group of people doctors call "morbidly obese" -- those struggling to lose 100 pounds or more -- losing weight is fraught with challenges others may never imagine.

"When you're large, the same weight loss and exercise rules don't apply. They can't apply, but nobody really gets that, not even many doctors," says Goetze, whose company aims to address the needs of what she says is this forgotten group.

From bathroom scales that can't measure your weight, to exercise equipment built for someone half your size, to the health problems associated with being extremely overweight, frustrations abound.

What's more, experts say, the nuts and bolts of dieting -- including caloric intake -- is different for those who need to lose a lot.

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