Obesity osa is 37 years old, 5 tt 4 in tall, and the mother of two children Before her first child was born 10 years ago, her normal weight was 140 pounds She gained 35 pounds during pregnancy and didn't regain her normal weight before her second pregnancy a year her heaviest weight ot 168 pounds she complains af fatigue and thinks her weight contributes to her asthma She has tried eral diets and has been unable to take we ght off and koep it off Her doctor told her she has prehyperien- sion and encouraged her to lose weight to lower both her blood pressure and serum glucose levels Tho fear diabetes has motivated her to hose weight