I'm kind of in the same boat as MLBW and megan2008. My family has a history of struggling with weight, from both mother's and father's sides. My father even had to do Atkins about 8 eight years ago to get to a healthy weight, and he's still struggling with it. Five years ago I weighed 230 pounds.
Since then, I have become very active, walking everywhere, and until I moved from the US to HK, I did triathlons, even finishing an Ironman in 2007 (still weighing 180 pounds mind you!). What I found out was that 1) the food here was so covered in sauce that I didn't notice the extra sugar. And 2) I couldn't exercise the way I wanted to. Getting to and from the gym was more effort than I was willing to do and my old US style of just going outdoors to workout (run, bike, swim) wasn't going to work on the streets of HK.
Because I know "how" to work out, and from years of training, my body is fine with even extreme amounts of exercise. I hide my weight well because I tend to be more muscular but it's the loosing of fat weight that I struggle with. What I ended up doing was hiring a nutritionist, rather than a PT. I found that she could advise me on good foods to buy when I eat out, and good ones to cook when I'm at home. She also helped me track, not just my weight, but also body fat, etc. and helped me decide wether to focus on the upper middle or lower body, depending on where the most/least progress was being made. Not only that, but because she had me keep a food journal, it made me more aware of what I ate, and when. And she held me accountable while not being overly restrictive about it, which for me was a big deal because my husband and I enjoy good food (it's one of our few common interests).
Now, because she was Asian, she was shocked that I was as heavy as I was and sometimes her goals for me seemed rather unrealistic (she mentioned getting me below 55kg at one point!), but we came to an understanding that I was looking for healthiness, not twiggy-ness. I worked with her really hard last winter and spring to loose 10kg, then when I finally got down to an acceptable (for me >70kg) weight, I got pregnant.
Now I'm beginning to freak out, as I'm finishing up my first trimester, and literally feeling the weight creep back along with the normal baby gain. But I'm sure that as soon as I'm able, I'm going to get back on track with her and do it all over again.
If any of you'd like the information for my nutritionist, as I'd highly recommend her (she has one office in Central near LKF and one somewhere else) feel free to PM me.
Also, maybe you ladies would like to get an exercise group together? I find that company always is good motivation, even if it's just for a walk. Not only that, but also someone else will be waiting for you, so more motivation to actually get out there! :treadmill