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Eat less and healthier, do lots of sports -> lose weight.
At some point in university I started to eat too much and excercise way too little. There were no "real" reasons. It started somehow and I lost control. So for ~the first half of my 20s I was very overweight. To the point that I was ashamed of my body so I avoided situations in which my weight was obvious even more.
Gladly I was able to turn that around at some point and only then there where comments concerning my weight. (Some congratulatory and some concerned that I was becomming too thin now).
I'm almost 40 now and miiight do to much sports, but I think I found a healthy balance, don't have backpain anymore and am rarely sick.
If I had found the strenght / inspiration sooner, I wouldn't have "lost" quite as much time as I did.