Hello and Welcome back again
Sometimes when it comes to meds or medical issues, its all about getting the ducks in the correct row before knowing its the best time to start losing weight. I am a firm believer of taking the best parts of all the diets I have ever been on and creating the best one for me. I now work off of calorie control and Macros, which is making sure that I am bringing in the correct types of food to fuel my body. It has taken me years though to get into a situation where I have the right knowledge for it, but I had to bring it all together to make it work. The main thing that helped me at the beginning was getting into the right mental state. I was stressing out about everything, but once I let that go..... sorted out a few things and cleared the air with some family members, I felt unstopable.
I stopped making unrealistic targets, I stopped thinking I could lose 154lbs in a year because I don't have Chris Powell helping me out. 1lb a week which is 3500 calories! For me it was BURN IT OR DONT EAT IT, very simple, either way I would lose 1lb a week. So far I have lost 37.4lbs I am running a little behind with 5lbs extra, but I'm not stressing about it, I am just going to burn or eat less calories to up the anti to catch up
I wish you all the best