It wasn't the life she had imagined — one that included high blood pressure, high cholesterol, diabetes and the prospect of knee replacement.
As a young girl full of life, she would never have pictured herself struggling to get through the day, spending most of her time in a recliner or bed, unable to do even the simplest of chores.
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She had become a woman who avoided looking at herself in a mirror, missed more than 50 percent of her work days and could no longer find clothing in local department stores that would fit her 5x figure.
Michelle Hoover was morbidly obese.
Weight had not always been an issue, the Hagerstown woman said. But over the years, the pounds began to creep up on her.
Eventually, she weighed 350 pounds.
And she wasn't alone.
Her husband, John, had his own battles, tipping the scales at 296. He also was on insulin for his diabetes, along with 14 medications for other health problems.
Most painful, she said, was the fact that the couple's 24-year-old son, Matthew, was diagnosed with hypothyroidism, sleep apnea, high blood pressure "and would inherit his family health history" — all because of excess weight. At his heaviest, his mother noted, he weighed 334 pounds.
It was a life, Michelle Hoover said, "where I was just existing. I realized the weight gain was ongoing and it was killing me."
She knew she needed to make serious changes when the 47-year-old woman was told by her doctor she might not live to see 50.
That's when she began researching bariatric surgery.
After informing her husband and son that this was her plan, Hoover said she met some resistance — but not enough to dissuade her.
In fact, she was the one who changed their minds.
When they saw the success of her surgery, each decided to follow in her footsteps.
Today, the family has lost a combined more than 450 pounds.
Michelle, who had gastric bypass on Oct. 19, 2009, has lost 218 pounds. Matthew, whose surgery was on Aug. 17, 2011, has lost 191 pounds. And John has shed 80 pounds since his gastric bypass on Dec. 7, 2011.
"Honestly, I never really realized how heavy we had gotten," said John Hoover, 47. "When I look at the change in the pictures we have from before, I'm amazed. I didn't see the weight issues in my own family."
Adding unwanted pounds to her frame began soon after high school graduation, Michelle said, "when my doctor put me on a long-term dose of prednisone because of my asthma. Then, we had Matthew and I didn't lose the baby weight."