Exercise - 3x/week 2 hours minimum cardio+weights and pilates, dance. I lost a lot of body fat and I'm in normal ranges for my age, but I'm just gaining a disturbing amount of weight via muscle mass to the point that simple BMI calculations think I'm obese.
Food - My new doctor and personal trainer were both confused at my heaviness after finding out what I normally ate in a two-week timespan. Whole grains across the board (brown rice, beans, my favorite quinoa), half my meals were salads with little to no dressing/sauce (and that was usually just sriracha or a little vinaigrette), almost always water or green tea for drinking, small portions spread out with a little fruit across the day. My only guilty pleasures were the occasional piece of dark chocolate and a glass or two of wine/beer in a week. All the meat and seafood I ate were cooked pretty healthily, and things like butter are only touched when we have guests over. The only time I deviated from any of this was for rare situations, like my birthday lunch at The French Laundry :)
Nobody could come up with a great diet solution for me that wasn't "eat less" or "exercise more", given that "eat less" would be sub-2000 calories for a moderately active person and "exercise more" would be quite painful and make me less likely to work out. I tried eating less for a short while anyway, and nearly passed out in the middle of a street. I can't possibly find a healthier way of eating than what I do now, and the people I talk to only wish their clients/patients would eat like I did. And yet here I am, looking fat, am still fat in some areas, weighing enough to be obese, running <10 minute miles, and still struggling with my weight despite being in pretty good shape. :(