I need sound advice, please.

Here goes… I am happily married (4 years) to the love of my life. She has always struggled with weight loss, its very hard for her because she has a rare form of anaemia (sp?), and as a result exercise has always exhausted her very easily and she gains weight easily ss well. She used to be 270-280 lbs and then she got the gastric sleeve lapband and is now 200 (last year she was 178). She is extremely independent and works a lot and is always to tired for exercise. She is back watching and…

I need sound advice, please.
Source: Weight loss

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