1. Seek Supervision.
"The more overweight you are, the more likely you need to be monitored -- and the more you need some type of medical supervision, at least at the start," says Janet Finestein, MS, RD, a nutritionist and dietitian at the Comprehensive Weight Loss Center of NewYork-Presbyterian Hospital.
"Sometimes uncovering these health risks and getting treatment can also help you lose weight," says Finestein. "For example, learning how to control your insulin levels may also help you control your hunger, and that can make your weight loss much easier."
2. Join a Support Group.
While it may seem as if no one understands your needs, you are not alone. Experts say one of the best places to find those kindred spirits is in a support group -- like those found on the Weight Loss Clinic message boards.
"If you feel self-conscious about meeting with strangers, the Internet has opened up a whole new world of peer support, with groups and chats and online gatherings of those who share similar goals and similar problems, and I do encourage patients to get involved," Huberman tells WebMD.
By sharing your experiences, or just listening to others share theirs, you may also discover ways to better cope with the challenges you face, Huberman says.
3. Incorporate Movement Into Your Life.
While joining a gym, or even going for an evening walk, may be out of the question at first, Goetze says that getting used to moving your body in small ways is something you can -- and should -- do.
"When you are very large, moving your body is not only physically challenging, it's also emotionally challenging, because with every difficult move comes a reminder of your size," says Goetze.
To counter the problem, she says, make a commitment to doing small movements every chance you get. Walk across the room to change the TV channel instead of using the remote, for example, or bend down to pick up that pencil you dropped.
"Small moves do burn calories, plus they subtly change your mindset about the role of movement in your life," Goetze says.