This study is based on and expands Newman's theory of health as expanding consciousness with women who maintained weight loss for at least 1 year. The researcher engaged in two in-depth interviews with twenty women. Individual patterns for participants who maintained weight loss revealed a personal journey of self-discovery and control with initial chaos, choice, and then emergence of behaviors reflecting expanded consciousness. Looking across participants, six patterns emerged from the data with evolution of a model of change that has implications for nursing practice at defined times within the change process of weight loss.