I desperately need to lose 30 pounds. A really bad thing against me is I am short (5'3"). How in the world can I possibly do that when I have no strength or energy & all my joints hurt so bad? I have so many of the sjogren's syndrome symptoms plus more from other ailments. Fatigue is the worst to deal with when it comes to this. Arthritis doesn't help either. Being limited on foods I can eat without choking to death is against me. All of it is against me. It is not just the weight but being so much out of shape too. Of all Drs. it was my dermatologist that commented on my FAT belly. Does anyone else have this weight problem &or large abdomen problem? They say the big middle is dangerous. With all our problems, what can we do? It is simple to say what we SHOULD do such as exercise & diet but doing it is far from simple. Health wise it is really dangerous. Look wise it is depressing. I've gained weight everywhere including my feet. I have lost alot of teeth from them chipping off. In spite of moisture cream my skin is all dried out & looks it. When it comes to sex, I want to hide myself. I sure lost desire. I desperately need help on how to deal with this. What can I do?!?