Given that the medical profession is ABSOLUTELY FUCKING USELESS when it comes to helping patients with weight loss, they have a lot of nerve taking part in any scheme to fine people who can't lose.
Have you considered seeing a nutritionist? They would probably ask you to write down every single thing you eat in the week, analyse it, and write you a better diet sheet suited to your lifestyle. Not as dicey as messing around with trial and error yourself.
Sometimes, it's the smaller things you don't expect that are the biggest problem - condiments, sweetened hot beverages, glutinous foods - which are harder for the body to break down. For me, it was alcohol and natural unsweetened fruit juices. I used to drink about half a litre of tropical juice a day, and never suspected the natural sugar contained in the fruit could make me gain, but it did! Better to eat fresh fruit, and drink water instead.
Then, of course, we each have a slightly different metabolism, if I eat cheese, salami, or butter, several days in a row, I balloon; but my flatmate can eat those pretty regularly without a single problem. You have to find those things your particular body struggles with most, and eliminate them as completely as you can. The only way to discover this is to weigh yourself daily in the morning before you've eaten. Then you'll begin to have a mental note of the things which make you spike sharply, and you can have an immediate handle on it before it gets out of control and takes you by surprise. A German friend of mine gave me this advice, I thought he was a total anal freak at first, but it really works.
Also, you can give your body a jump start when you hit that wall by cleansing your liver naturally, improving liver function and speeding up fat-burning ability. It can get clogged up and sluggish with modern diets and hold you back even after you've begun to eat and exercise better. Fresh lemon squeezed into a glass of water in the morning, and milk thistle oughta' do it. I would consult your doctor first though, as Milk thistle is a diuretic, can lower your blood pressure, and you'll need to hydrate yourself properly.
And never underestimate the power of improved blood circulation and massage, exfoliate the areas you want to particularly loose weight in the shower very rigorously. Along with shifting the excess in specific places, it's great for your skin, and sense of well-being in general. Plus, it's pretty tough work, so you're burning calories.
Apologies, if I'm repeating what you already know. Someone may as well benefit from the little tricks and tediums I've learned along the way.
I've lost 12 kilos which had snuck up on me over a couple of years in this way. Bearing in mind I upped my exercise. I walk about 5 miles a day just going about my daily affairs, saved a lot of money on public trasport, too. This allows me to eat as much as I want, within reason. I have a slice of cake or biscuit everyday. For me, life isn't worth living without a few treats.
