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From Geni, child's age 19

My son is 19 , lives in an apartment at college . He is about 5,11 and weighs about 250.he has always been overweight. He says he wants to lose weight, but I feel nothing ever changes! I tried everything when he was home... personal trainer , gym etc. I feel so helpless!! I know he would be so much happier and confident! He's so handsome!!! What can I do??? It is taking over my life!