So, I reached 267lbs, and with the help and encouragement of my doctor, I started Medifast. It turns out I'm allergic to something in the low-carb products. I haven't discovered which ingredient (It's not worth it to me to go through that process), but I have tummy issues with these products.
I decided to switch to Atkins and just use regular food. In 9 weeks, I've lost 29lbs. Great, but I'm having other issues like heart burn, and times when I'm ravenously hungry.
I think I need to find a good middle line approach. I want to start with high protein, low fat. I think I want to try to add in fruits and vegtables without limiting them to see how I do. I think I'll need to find a way that works with my body and metabolism. One size fits all programs may not work for me anymore.