I need to know what to do first.....

I do not have a PCP and I have never been on a supervised diet. I am 5'2 and I weigh 243lbs. My BMI is 44. My joints hurt and heart disease and diabetes are common in my family but I have not been diagnosed with either. I don't have high blood pressure either. I'm just miserable. I have no idea what to do... and if anyone has gotten approved through Blue Cross Blue Shield whose situation was similar to mine, please give me some advise about getting approved. Somebody please help me!!! Thank you so much. Andrea

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