Megan Rachow remembers the exact day she decided it was time for a change. “I had been living a life of obesity for a few years and was exhausted both physically and mentally,” the 30-year-old physical therapist tells PEOPLE. “I felt like I had gained so much weight that I would never get it back off. I still remember the day that the switch flipped for me — July 19, 2014 — and I decided I was done living like this.” 

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