The 300 Pound Gorilla in the Room

[cyrano]

Phillip's choice of "Heaven Knows I'm Miserable Now" seems a bit apropos.

I got the results back from my blood test over abnormally high triglycerides, and the good news is that I won't have to add any new medications to my daily regimen--in fact, I'll be getting rid of one.
The bad news is, I have a rare genetic disorder called Chylomicronemia, which means my GI tract processes fat indirectly and (as far as I can tell) just injects them directly into the bloodstream. I'm seeing a nutritionist in three weeks, and until then I'm not planning to make any sweeping changes, but it looks like I'm going on a very low fat (20g/day) low carb diet, which I believe will allow me to eat celery and protein paste. The coolest part of this is that if you put my blood sample into a centrifuge, a frothy creamy topping will separate.
HOWEVER. The doctor predicts that this dietary change should entirely resolve this aspect of my health issues, and may clear that stumbling block in my weight loss attempts. (I've gained back all the weight I lost while sick, but at least I still haven't gained any--there's this wall at 275 where my body seems to hold fast.)

Right now I'm resentful and a little bitter and not looking forward to the extra work, but I figure that in a few months I'll be doing all the research and preparing my meals like it's second nature.