Hi, I am 49 years OLD. I am married 26 1/2 years, I have one daughter 30, a granddaughter 11 and grandson 3 months. I am retired due to a disability, back problems. I am 245 pounds I smoke and don't eat right and I feel miserable most of the time. I will be 50 next August and I want to change my lifestyle and look. but I need help. I don't know where to start. I've tried Weight Watchers, Jenny Craig, crash diets, I even had my stomach stapled 26 years ago. I am heavier now than before I had the surgery.  I love going out and traveling, but sometimes I wish I were healthier and had more stamina to keep up. I tire easily, I get out of breath when I walk.  I am ready for a change, and I need help. I always said if I could get a suck and tuck my life would be so much better and I would look and feel better. I need a makeover. Where do I start?