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Yeah, add me to the herd.
20 lbs per month is not sustainable. Even if the doctors help her to do it safely, she won't be able to maintain it. Long term weight loss comes from lifestyle changes, and lifestyle changes pretty much by definition have to be easy to do on your own.
Eat right and exercise.
Eat right and exercise.
Eat right and exercise.
If you want to throw money at the problem, have her choose some physical activities that intrigue her. My better half just chose a rather expensive program that combines yoga and spinning in novel ways. I support her in this (quite literally, since I'm the primary earner of our household) and encourage her to stick with it. That along with changes that we've made to our diet together incorporating more fruits and vegetables and cutting out excess sugar and sweets has made a major change in her outlook and overall well being.
The bad news, there are no quick fixes and it's not always easy. The good news is that while it may not be easy, it is simple; see above.
__________________
I wake up in the morning more tired than before I slept
I get through cryin' and I'm sadder than before I wept
I get through thinkin' now, and the thoughts have left my head
I get through speakin' and I can't remember, not a word that I said
- Ben Harper, Show Me A Little Shame
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