Since I cannot bring myself to get my internals cut up and modified, my brain does not accept that as logical, I have gone one other direction.
I have now enrolled with Nutrisystem. Two of my friends have enrolled and are losing weight.
The downfall that I see, is that this may become a perminant change to my eating habit. Meaning, all of the long term successes that I have seen are from people who have gone on the plan, and purposly never left it.
I made this decision after I found out that I am one of the few healthy fat people around. Rather than losing the healthy part, I decided to lose the fat part.
If this failes, then I will have to go the surgical route, fear be damned.