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From Nicola, Age 11

I'm very overweight I weigh almost 245 and the 2x at wal-mart dosen't fit me. 2 weeks ago I bought a pair of size 24 jeans and now I cant even zip them up. My waist is 43 inches around and I'm only 5'3". I seem to gain about a pound or two a week and sometimes more. Every time I go to the doctor (every week to get weighed I weigh at lest 1 pounds more and last week I weighed 238 and the doctor said if I gain 20 more pounds I will have to go on a crash diet. Please help me lose weight.