My decision to lose weight and get fit was prompted not so much by an "Aha!" moment but by a "two-by-four upside the head" moment. At my annual physical in 2008, my physician brought up the issue of my weight and she sent me off for an echo stress test. The technician had plenty of comments and concerns while we were doing the test but the kicker came at the end when he said, "It is not IF you are going to have a heart attack, but WHEN."
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