My #1 tip:
Go to the doctor and get an honest accounting of your condition and diseases. Learn HOW those things function and what that means for your personal needs in order to succeed.
For example: Fatty liver may mean you need more fiber and less fats, but ulcers or GERD may mean you need more simple carbs and less fiber. Your doctor may not be specialized enough to give you such details, so be sure to do some research.
With the information you gather, make a program for yourself tailored to your strengths and weaknesses, keeping in mind what you are most likely to keep doing.
If it's overwhelming to you, you may need to go slower. That's okay, as long as you keep going AT ALL. Another "something is better than nothing" message.
It has taking me 2 years to lose 25 pounds. Mostly because I had some medical stuff to figure out the first year, but also because I went very slow at first and only picked up pace recently.
Very slow= Switched my bread from white to whole wheat without high fructose corn syrup. Then made NO other changes for a month. Then added only ONE more change per month.
| Pounds lost: 31.0