Hi, Determined One!!! IMO, you are thinking and doing just the right things. I don't think you are lazy or need a push. You are just, it seems to me, in a precontemplative stage of change. I don't have any advice to give, because I think you are on the right track. My only question is if you have a regular family doctor. If so, then she or he would be the place to start and could make the concrete suggestions you need. If not, can you contact your health insurance carrier or HMO and ask them to recommend someone. It doesn't seem to me you need any kind of specialist just to start you off, but you are wise to know you need sound one-on-one medical advice.
There's plenty of support on this site, just chose some threads and jump in, but please follow through and see that doc!!! Keep smilin' !!!!