Massive panic attacks that I thought were heart attacks because I felt so unhealthy. By the 18th ER visit, a Dr. finally had the courage to ask if I was done doing this to myself, and hit the scale on the bed - 350 pounds. He scheduled a consultation with the weight loss surgeon at the hospital, and 6 months later I had the surgery.
On top of which my social anxiety was through the roof, I couldn't even leave the house to get groceries without feeling like I was going to die of a heart attack because I was so self-conscious.
Couldn't stand being a prisoner in my own body anymore. The freedom this surgery afforded me is amazing.