I had a vasectomy about 6 months ago. The doctor was very, very, very skinny. I'm not surprised - he did his operations in the late afternoon / early evening. All he had to do to suppress his appetite was look down. And who could eat dinner after that?
I've lost about 12 pounds recently ... and it didn't take a career change.
It all started with a shocking blood test - my triglyceride reading was 22.6; a lower score a year ago put me in hospital critically ill with pancreititis - and I'm strongly motivated to not end up in hospital again or to suffer that pain (it's worse than Childbirth, apparantly).
I've also been using www.joesgoals.com to (and reward) track my behaviour changes from day to day. Plus I've put a contract out on myself using the ingenious stickk.com where I actually have to pay a small amount of my money to a "charity" I despise if I break my contract. Both are wonderfully, free, little reinforcers.
Take a look at the news articles about stickk.