I don't really know where to start. A long time ago, I was healthy and fit at 5'11" and 175 lbs., and I've always had a big rib frame. I played a lot of football when I was younger, and was in the military when I was in my 20's. A few years in, I became disabled and was medically discharged and currently have a 50% disability rating.
I suffer from a lowered immune system as I lost both my Colon and my Spleen, and over the years I have developed new issues. I am IgA and IgE defficient, hetero-zygous for Leiden factor V, and even apparently gluten-intolerant. Much of this has led to some depression, though not enough to warrant suicide watch, and I am happily married with two kids.
Over the past 2 decades, as I slowly gained more and more weight, I started getting lazier and lazier about my habits and started just getting into a routine of total ambivalence to my life.
Recently, my wife found out we are being transferred from SLC, UT to KC, MO for her job. We have been going through our stuff, and I decided it was time to go through my closet and get rid of clothes I no longer wear. As I was going through them, I realized that I actually liked most of the clothes, I just can't wear them because they just don't fit right anymore. For some reason, I decided to pull out our bathroom scale and weigh myself for the first time since I can remember, and I was a bit dismayed to see the number say 323.4 lbs.
I've already started making a few changes, I tossed out all of the sugary drinks in the house, which I know will be a good first step, but I don't really know where I should go with Diet and Exercise.
Due to some of my health issues, I know that I really shouldn't be consuming mass quantities of Vitamin K rich foods since I am already on blood thinners for my hetero-zygousity (I've had two blood clots in my life, one in my left calf and one in sinus veins surrounding my brain). I probably shouldn't eat a lot of grains with gluten since I am diagnosed to have Celiac's Disease, even if I haven't seen any effects of it (unless weight gain is an effect).
I was thinking a keto type diet might be a good start, high protein, high fat, low carb, but some things I have been reading suggest it's not a good diet for general weight loss. I don't have a lot of local friends, and will have even less when we move to KC, MO, so I'm worried any support system will be completely limited to my wife and she tends to be an enabler for me and I am always happy to let her enable me >_>.
You guys have any advice?
We cannot really help you intricately without knowing your typical eating/drinking habits.
Drinking just water is a good 1st step. Depending on how many "sugary drinks" you were drinking a day that could cut anywhere from a hundred to 2000 calories a day alone.
You will have a caffeine withdrawal if they are caffieneted drinks. ---