Four years ago, when Oprah managed to get down to a trim and fit 160 pounds, she thought she'd hit on a foolproof formula for permanent weight loss. Then life --in the form of a thyroid problem and a killer schedule-- intervened. Last year she was back up to the 200-pound mark and knew something had to change. After a desperately needed time-out to reflect and recharge, here's what she's learned, what she's doing differently, and what's next.
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