You have to take on major lifestyle changes. Curtail diet
carbohydrates. Stop fats. Increase vegetable and fruits. Undertake 30-60 minutes of iosmetric exercise- jogging, cycling, swimming. Start a racquet game like badminton or tennis/table tennis. Another good activity which reduces stress
. Avoid stress at work
place, with colleagues and family members. Once you are able
to achieve 5-10% weight loss
, all you have to do is maintain. From 78 kg, try to come down to 72 kg and many of your problems will reduce. Medications will not be required after that.