How on earth do I loose weight

Measurements I agree are useful as a starting point, especially your waist measurement as that is an indicator of stored visceral fat and future health problems. It was my horror at finding what my waist measurement was that spurred me into action. However, I'm not so sure about photos - when you feel bad about the way you look, you really can't go that place.

I second trying the Fast 800, worked for me this year, I am astounded as I never thought I would manage it. If you initially find that a bit daunting have a go at the 5.2 Diet, also by Michael Moseley. Good luck.