I tried to "turn things around" and failed.
First step first 6 months - I cut back on fried foods, salty foods, burgers, and sweets and kept a sane calorie budget. Along with medication that brought my high blood pressure down from a walking heart attack level to elevated but still didn't do much for my cholesterol or weight (5 pound weight loss).
Second Step 3 months and counting - It was a simple matter of increasing my exercise regimen from non existent to a relative intense resistance based regimen that's now up to around 2 hours four times a week. I've lost about 10 pounds but I've probably platued.
The third step is going to be the hardest for me, cut back on meat and start eating more vegetables and fruit and cut out non diet sodas (yeah I know about the studies with diet sodas.) Goal is about another 10 pounds of weight loss.