I was 268 last December and went in for two heart valves that need replacing and ok now but with copd from 38 years of smoking (Quit In 2006) and now still fighting it at 252 pounds,is a pure bitch to stop eating and I am a picky shit when eating also.I do cardiac club couple days a week with excercise but stopping the eating of sweets and other nasty things is a real chore.......You are doing good