P90X http://www.beachbody.com/product/fitness_programs/p90x.do?code=P90XDOTCOM In just 4 weeks of this program I have gone from 255 to 238lbs. I am down from a size 38 to 36 pant and have dropped from a 29% body fat to 23%. It's tough but works. I wasn't able to do 40% of the exercises in the first and second week, now that number is more like 20%. That's due to significant strength gains.

I am currently using their lean version of the program. You'll eat more too. Although changes in diet will be significant. No fries, chips, coke, large sandwiches etc.

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Probably the most surefire way would be to workout like alpinist/mountain guides--"Mountain Athlete":http://www.mtnathlete.com

Another way that would surely do the trick would be to workout like the "reclusive Tarahumara Indians of Mexico’s deadly Copper Canyons," famous for running "hundreds of miles without rest." Check out Born to Run: A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen

If you want quick, I agree with Peter, get surgery.

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Step 1: Start walking daily until you build enough stamina to run, run 3-4 times a week.

Step 2: Stop eating shitty.

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