First of all i am not that heavy but i take some medications that help with the excess pounds anyways. Besides all the soda I eat well. I drink so i dont have to take anything special. I eat lots of different foods because my husband and i eat out all the time. I had to get on synthroid because my thyroid was out of wack and than i started having trouble with the levels. So now I am taking a new dose. Anyways I pretty much have it under control now. Because I am diabetic I also have to take my amaryl so that helps.