My bmi is around 40. Point blank, I have been in denial. Yes, I've had an awful decade, going through a divorce, job changes etc.
I've used these situations to console myself, to maintain a comfortable discomfort. I can't justify it any more.
It didn't cross my mind that I would be more vulnerable, given that I have no underlying conditions. I've been fortunate to keep fairly well physically (mentally is another story)
This is it. I can't do this to myself any more. Nor to my children who depend on me. Nor to my family and friends who worry.
Where I once felt shame and disgust at myself, I feel hopeful and optimistic that I CAN do something. I AM worth the effort.
I'm willing to bet that my mental health and my overall mentality will improve and all around me will be the better for it.
(Only speaking for myself here, others may disagree...)