Can't Take It Any More

I'm 6'5" and 351 lbs. I have high blood pressure, high cholesterol, high triglycerides, and sleep apnea. I love to cook and eat and have very little in the way of self control when it comes to food. If I feel like I want to eat it, I usually do.

Over the course of years I've tried diets (Atkins, South Beach, Volumetrics), seen dietitians and doctors and I've lost weight only to gain it all back and more. I'm about to go beyond the largest cloths size I've ever been both in shirts and pants and I really can't stand it and don't really know what to do.

My Dr has suggested "banding" which I'm willing to try but I'm afraid that my insurance won't cover it unless I jump through a ton of hoops. My feeling is that I have to take responsibility for what I eat and manage it. I'm not really learning anything if I just "do banding" - although I'm sure there's an educational component that goes along with the treatment. Still...

I know I'm not a "gym" guy - I don't have the discipline. I don't mind walking and I have been doing that in the evenings for about 20 minutes. I feel my greatest problem is just stopping the eating process. If I could stop after one helping and not snack I know I'd loose it. I just can't seem to get started.

So far my height and build have helped me from looking as heavy as I am, but it's not going to work for much longer.