Physical activity/exercise is protective for many of the health problems of being overweight. It is better to be fit and fat then slim

I am a big fan of Health Coaching to help establish your "value" for the proposed change in your behavior

Motivation beeds to be "activated" in the individual by aligning what you find most valuable in your life and agreeing to small

small initial, sustainable changes. Working with Lifestyle Medicine doctors or health coaches will help with accountability

Weight Watchers is one of the more well established and sane programs available. The social support is critical for many of us

Health coaching is an evolving profession of specialists in motivation and lifestyle change. They work with you in person or over the phone

As a physician I try to personalize the health benefits of physical activity or weight loss to my patients particular history.

You may look at the Harvard Institute of Coaching on the web or consider Wellcoaches.

Doctors need education on the profound impact they can have to help start the weight management process. I would ask my doctor if my weight

if my weight is ideal. Ask for help and suggestions.

Unfortunately many doctors are reluctant to ask or discuss weight with their patients.

I am a big fan of the many apps and pedometers that track your eating and activity. if it feels right and you are motivated give it a try.

Yes the patient should bring this up as a concern. Too many of us think it is ok to continue to gain weight. Not so.

Final thougts: As a start become more conscious about your eating and take the time to plan out your meals.

Your body is seeking sufficient energy (calories) regardless of the quality. Of course healthier food is always bettter.

Don't starve yourself in an attempt to lose weight quickly. It simply won't work.

Packing up leftovers in advance. Buying food in frozen form, carrying your lunch are all part of meal planning.

Make the initial change something that is small but achievable. (e.,g carrying your lunch once per week). As you achieve the first goal

the first goal your self confidence will improve. Now move on to the next goal

Please check out this article from my co-author Margaret Moore aka Coach Meg of Organize Your Emotions to be published next week. x.com/HarvardHealth/…