Even funnier, that quote comes right after this sentence (emphasis mine):  I’m sure you’re thinking, “Why didn’t you just lose the weight with him?” And for a while, that’s exactly what I did. But I knew that between my compulsive eating, my medical problems (yes, there are actual problems that contribute to weight gain or retention), and my depression, it wouldn’t last long.  Sounds like those "medical problems" are really contributing to your obesity.