I see a lot of folks lately pushing these "experimental" weight loss drugs. In a very similar manner to how they pushed the covid vaccine. We are now seeing how that turned out haha

If you're going to use them then know what you're getting into beforehand. You may want to consider routine vision checks while you're on it. The mass fluctuations of blood sugar isn't good for the optical nerve. Some of the guinea pigs have already had complete vision loss. But I'm sure the FDA will still approve it next year. Good luck on your weight loss journey ditch the soda drink water, exercise, diet. It's a mindset. A daily death and resurrection is what's needed for discipline.

Fist of all, congratulations on taking your health seriously and taking the first step to the new healthier you! Lots of advice has been given and you can take it as you please. I’m going to give you my two cents. Our backgrounds are similar, I’m prior military, suffered from PTSD and got hit with some major medical issues, hospitalized, for months with a slow recover and our on medications that induced weight gain. Long story short I lost 130lbs without a glp1. This was a diet a friend mentioned to me. MEAT, EGGS, CHEESE, and VEGETABLES. You’ll be surprised what you can come up with isn’t just those four ingredients… I drink water and black coffee but have added milk back into my diet. The weight melted off fast, you eat when you’re hungry and eat to your full. No calorie counting, no restricting…. The absence of sugar destroys food noise but you will go through a two week withdraw. This was the only diet that has truly worked for me… I also added beans occasionally as well. I went from 309, to my current 184. My goal is 175, I do not do cardio, I weight train 4 to 5 days a week.

Take your health serious, monitor your labs, and do your research. You’re going to do great and remeber to save some of those women for the rest of us. Your sexy ass can’t have them all!

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Dude there is some good advice from guys below. You need to get your diet in check, cut the sugars out that includes drinks, no sugar in drinks like soda and juices. A GLP1 like Retatrutide could really help you, eat clean like chicken, fish, pork, veggies, a little grain here and there. Fasting helps a lot as well but seriously look into Reta, it can help a ton then after all of that and you lose the fat, then you can look into using gear. If you hop on gear now with that high of percentage of fat it's going to do more harm than good. Also discipline and hit the gym hard like go every single day even if you can only handle 30 min to an hour.

Diet is everything when it comes to losing weight. You can have the best training program and tons of cardio with a bad diet and not lose a pound, but on the other hand you can not workout at all and have a perfect diet and consistently lose weight. But it’s best to do both. Diet to lose weight, train to retain muscle while on a cutting diet.

Cut out soda, and do your best to cut out all processed sugars. Minimize simple carbs and stick to complex sources like sweet potato’s, brown rice, oats etc. get yourself in a 500ish calorie deficit. So whatever it takes to maintain your current weight minus 500 calories. Lift atleast 3 days a week. Do cardio 3-5 days a week. This is really important for strengthening your heart after your heart attack. But clear all of this with your doctor first, don’t listen to me.

Definitely stay far away from steroids. Heart problems are the most serious side effect from steroids and the hardest side effect to mitigate. You already have heart issues. Reta may be worth considering. But I’d be real hesitant to take anything not cleared by your cardiologist.

What caused your heart attack? You’re pretty young.

bro, first off let me say, shit happen. Heart attack, right here is a stopping point. Do not use anabolics, TRT with doctor supervision at the most and only if you need it. You can however use peptides, maybe retatrutide, but your real tool is diet. Fuck cutting fast food, cut everything.
I am a big proponent of carnivore and i respond extremely well, despite what people think, my cholesterol levels drop on carnivore but that may be too extreme for you. Cut all the junk and processed food. If God didn't grow it, throw it. No irish diet either, toss the potatoes, the rice, and focus on heathy non starchy foods. Everytime you want that pizza and cheeseburger, pull out a photo of your kids and remember who you're actually doing this for.
Join some outdoor groups, one for the health but also it seems like you need some socializing in your life and it'll do you some good to meet other people who are also on their health journey. You are the people you keep, build a friend group of people who are health conscious, join not just a gym but a family. Look for MMA gyms where people get close. Don't get too focused on the science of everything, just start moving and doing. You got this.

You don't need drugs. Cut soda or switch to diet I am embarrassed about how addicted I am to diet soda but I am lean. Yes cut fast food it's not even cheap or fast anymore anyways if you must no fries hold the buns. Eat .8+ grams of protein per lb of body weight every day only meat and dairy count. Collect NEAT whenever possible park as far away from every entrance in every parking lot walk laps around the gym during rests between sets stand while eating and working if you work at a desk. Aim for 150 minutes of fasted cardio a week. Workout as much as you can handle if your split is upper day lower day rest day that's fine so long as you can keep doing it. Sleep is super important with fat loss if you get less then 6 hours of quality sleep a night you will lose muscle not fat. Resist the urge to use drugs to speed up this process as long as you can the longer you wait the better the drugs will work when you do take them. Stay strong get stronger I know it's hard to get back in shape seeking advice is a good start you can do this.