Same boat. It took my health totally imploding to galvanize my resolve to look closely at what I might do and do it. I lost 115 lbs and have kept it off 22 years this summer. Managed to resolve all my metabolic health problems and vastly improve some unrelated ones. My quality of life improved in many ways. A tough row to hoe. Yet totally worthwhile for me anyway. And I do recognize there is a privilege in being able to devote the resources to one's health. I know it's far tougher for lots of folks. And certainly more so now than a couple decades ago.