- Losing 5 to 10% of your body weight can meaningfully improve health.
- Start with two or three changes, not a complete overhaul.
- Walking and simple strength work are the best starting exercise.
- Your GP can offer checks, NHS weight management services and medical options.
Start where you are
Having a lot of weight to lose often comes with a history: diets that worked and then did not, bad experiences in gyms, comments from other people and health worries. It is normal to feel daunted. It is also worth knowing that people in exactly your position make lasting changes all the time, usually by starting smaller than they expected.
Forget the final number for now. Pick a first milestone of around 5% of your current weight. For someone at 120 kg, that is 6 kg. It is achievable within a few months, and it genuinely matters.
It can help to write down why you want to change, beyond the number: playing with the kids without getting out of breath, coming off a blood pressure tablet, fitting comfortably into a plane seat, walking up the hill to work. Those reasons keep you going when the scales are slow.
Why the first 5 to 10% matters so much
Losing 5 to 10% of body weight is associated with meaningful improvements in blood pressure, blood sugar control, cholesterol and joint pain. For some people with type 2 diabetes, it can make a real difference to how the condition is managed. Sleep, energy and mobility often improve too.
That is why health professionals focus on these early losses. You do not need to reach a healthy BMI to be healthier. Every step along the way counts, and the first steps often count the most. Seeing the first few kilos come off, and noticing stairs or a long walk getting easier, also builds the confidence to keep going.
Food: fewer changes, bigger effect
Rather than a complete diet overhaul, choose two or three changes that would make the biggest difference for you. Common high-impact changes include:
- Swapping sugary drinks, juices and energy drinks for water, diet drinks, or tea and coffee without sugar.
- Adding a source of protein to every meal, such as eggs, yoghurt, chicken, fish, beans or lentils.
- Filling half the plate with vegetables at lunch and dinner.
- Cutting down on takeaways and ready meals, or choosing lighter options when you have them.
- Drinking less alcohol.
Do those consistently for a month, then add another change. Our guides to protein for fat loss and the hand portion guide are good next steps.
With a lot to lose, you can usually lose faster in absolute terms than a lighter person, often around 1 kg a week at first, while staying within the recommended 0.5 to 1% of body weight a week. How fast should you lose weight explains why that pace works.
Movement: walking first, then strength
Walking is the best place to start for most people. It is free, low impact and easy to build up. Begin with whatever is comfortable, even 10 minutes, and add a few minutes every few days. Our guide to walking for fat loss has a simple progression.
Strength training is the next step. It protects muscle while you lose fat, makes daily tasks easier and supports your joints. Sit-to-stands from a chair, wall push-ups, step-ups and resistance band rows are a good start, and you can progress from there.
Low-impact cardio such as cycling, rowing and swimming is often more comfortable than running or jumping, especially at first. Our guide on starting to train when you are overweight covers what to expect.
Medical support you can ask for
Speak to your GP before starting if you have heart problems, high blood pressure, diabetes or any condition that affects exercise. A check-up is worthwhile even if you feel well, because it gives you baseline numbers to measure progress against.
Your GP can also discuss NHS options, which may include local weight management services, digital programmes, low calorie diet programmes for some people with type 2 diabetes, and prescribed weight loss medicines for eligible patients. Some people are referred for an assessment for weight loss surgery. These are medical decisions made with your GP or specialist team, but they are worth asking about.
If you are taking a weight loss medicine, strength training and enough protein become even more important, because rapid weight loss can include a lot of muscle if you are not careful.
Gyms, anxiety and finding your place
Many people with a lot to lose feel anxious about gyms, and some have had genuinely bad experiences. Look for a place where coaches scale exercises to the person and where members of different ages, shapes and abilities train together. Our guide to gym anxiety has practical ways to make the first few visits easier.
Lycan Strength is a community-driven gym where members of all ages and levels train together, every class is scalable, and the 7-day free trial includes a complimentary fitness assessment so a coach can see exactly where you are starting from.
Expect ups and downs
Progress will not be a straight line. There will be weeks where the scales go up, weeks where you miss sessions and weeks where old habits creep back in. That is normal and does not mean you have failed. What matters is getting back to the plan quickly.
Measure progress in several ways, including energy, sleep, how far you can walk and how your clothes fit, not just the scales. And mark each milestone properly, starting with that first 5%.
Surround yourself with people who make it easier, whether that is a training partner, a supportive friend or family member, or a coach. Telling one person what you are trying to do makes a surprising difference.
Members' guide
Keep reading with your free week
The full guide is for members and people on a free trial. Claim 7 days free and it opens straight away on this device, along with every other guide.
Already a member? Log in to read it
Unlock the full guide
Seven days of classes, free. We will be in touch to book your first session.
Questions
Where do I start if I have a lot of weight to lose?
Pick two or three simple changes, such as cutting sugary drinks, adding protein to meals and walking daily, and build from there.
How much weight can I lose in the first month?
People with a lot to lose often lose 3 to 5 kg or more in the first month, partly from water, before settling into a steadier rate.
Is it safe to exercise when very overweight?
For most people, yes, starting gently with walking and simple strength work. Check with your GP first if you have heart problems, diabetes or other conditions.
Can my GP help me lose weight?
Yes. GPs can offer health checks, refer you to NHS weight management services and discuss medication or other options if you are eligible.
General guidance for healthy adults. If you have a medical condition, injury or are pregnant, check with a health professional before changing your training or diet.
