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I am 33 years old.  I am 5' 2-1/2" tall.  I weigh 370 lbs.  I have hypothyroidism (treated by levothyroxin).  I have sleep apnea (I use a CPAP).  I have a fibroid tumor.  I have arthritis in my lower back.  My blood pressure is great, my cholesterol is fine.  I do not have diabetes.  I am fairly active - I live in the country on a farm and take care of cattle, chickens, mow and weed eat the inner yard (that is about an acre).  I like to go fishing and boating.  I work full time.  I clean house, do laundry.  Walk every day - probably an average of 2 hours per day between work related, farm related and leisure related exercise.   I have literally tried everything.  I joined a hospital health club and did water aerobics as well as used some of their land machines (low impact as I have arthritis in my lower back).  I went to the health club and saw my physiologist everyday for 2 hours a day.  I saw a dietician once a month.  I provided her with spreadsheets on everything I ate on a daily basis.  The exercise physiologist said that I was one of her most dedicated patients.  The dietician said she'd never had a patient so throrough and so serious about losing weight.  I stuck with it - I cried, I hurt, I pushed through it.  In 5 months I lost 15 pounds.  In the 6th month I gained back 5 pounds - although nothing, absolutely nothing had changed.    The physiologist and dietician re-evaluated the situation, compared notes... they both recommended gastric bypass because they said for whatever reason my body is fighting itself.  No one seems to know why I don't seem to be able to lose weight - no matter what I do.   I believe there are other people out there who are like me - I know I can't be a freak.  But yet - where's the help we need?  Tied up in insurance claims and a procedure that on average costs more than my car did brand new.