Sounds like me. I'm 5' 8"-ish and hover around 200#. Been like this since I was sixteen.
Believe it or not, the doc has me as "anorexic" in my charts. One of my problems is a lot of times I'll eat only one meal a day. I try to break for lunch, but I get so busy around the house sometimes I just keep pushing through until the project's done. Breakfast? Never had a taste for it.
The doc wants me on low carb (not "no" carb) and high protein, eat three squares a day, and control my portion size. More fruits and veggies. Lay off the processed stuff.
Got my support, Jeremy. Taking control and making changes is the hardest thing to do.