Diet is a huge part. I know it's why I'm carrying a lot more weight than I should be. I've been pinballing for the last 10 or 15 years between 168 and 208 lbs (I'm 5'6"). I can tell you it's harder to lose when you pass 40. It's also hard when you're as good at making up excuses as I am. I think the bottom line is that you just need to want to do it. Same thing as when I quit smoking 12 years ago. Just have to say "I'm done".
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