greymist said:
How will I get there: I started on Atkins again in May, and have lost 40#, but still have a gut. My current goal is 200#, at which point I will assess my condition and go for more if I am still fat. I have not started an exercise program, but I plan to do so soon. I have inherited a treadmill and a Total Gym, so once I have made room for them in the basement (hopefully in the next couple of weeks) I will try to get at least 30 minutes of cardio, 3 times a week.
Congrats on the weight lost so far! My mom lost a lot of weight on the atkins diet too, but watch out for your cholesterol. Her's went way out of control, and she basically stopped the Atkins diet, and switched to South Beach--where the emphasis is on eating the right carbs in the right proportion rather than eating
no carbs.
If it becomes a problem, look into South Beach Diet plan or Nutrisystem (which basically uses the glycemic index/glycemic load) to help regulate your eating. If you like to prepare your own food and cook, there are tons of web-sites addressing glycemic index and glycemic load for the home cook.
If you want to be rid of the gut, exercise is the only way.

With the condition of your back, crunches may not be the best choice, but anything that works the core of your body (stomach, back, top of the gluts) will help tone the muscle that is there, build more of it, and burn more fat when you exercise it.
I just finished a 5 week long fitness challenge and did my last day's work about a hour ago.

125 push-ups, 125 situps, leg lifts (125 each leg), and kick backs (125 each leg). I feel like fricking wonder woman. I'm going to treat myself to a sugar-free pudding cup before I do cardio on the eliptical machine. Watch out for my invisible jet and lasso of truth!