Thanks for writing this. I never had your exact challenges, but was substantially overweight. For a reason unknown to me and docs, I lost 25 pounds in a few months. After an extended period of tests, I learned to simply thank my lucky stars and have maintained the loss. Found simply being somewhat slimmer made me less ravenous, made it easier to control urges. Maybe others have discovered this, too. In any case, I know how difficult it must have been to step out from behind your various rationales and masks and let other people see your reality. Very helpful. Nice writing, too.