HELP!!!!!!!!! I've gained 20 lb. in about 4 months!!!!!!!!!!!

I had RNY May '01. I started at 275, and leveled off at 150. I went through a pregnancy , even, and remained 150 after giving birth. I had my uterus and one ovary removed 4 mo. after the baby was born with no problems. I had my other ovary removed Nov. 05. I still had no problem with weight even on hormones, but they weren't helping me, so since Aug. '06, I've been on a hormone therapy that involves placing pellets containing the hormones under the skin of the hip. This therapy has greatly helped me, but since starting it, I have gained 20 lb. before I knew it. I feel like I did when I was big....like I'm out of control, because I realize the problem, and I HATE IT!!! I NEVER want to be that way again, but I cannot seem to get motivated to get rid of these lbs. before it really does get out of control. I would love for someone who may have experienced something similar and overcame it, to please share with me what you may have done to get started. I know if I can get started, and begin to lose, then I will start to feel motivated more and more, but I have to get started first. Please, someone that can relate to me, give me some advice. Thank you in advance!

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