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Back again, need to do this!

I am at an all time high weight. My body hurts all the time. Walking hurts my hips so badly. I have got to get it together and lose this weight. Small goal is 5 pounds at a time, but bigger goal is 100 pounds. I feel like my life depends on it. My doctor suggested wegovy but it scares me and from the research I did, doesn't do much more for weight loss than diet and exercise can do.