I'm 250 lbs and have been riding for about three months now to lose weight. During my rides I always feel like I am sliding forward on my seat. Because of this I never feel like I'm sitting on my seat and whenever I rest I usually end up supporting myself by standing on one pedal or the other.
Because of this (I think) my hands and feet go numb. This happens about 20 minutes into my ride. Different types of terrain don't seem to matter. Then it becomes a game of shaking out my hands and feet to get the blow flow back until the end of the ride which is usually an hour. I'm getting to the point where I am ready to increase my ride duration, but the pain in my feet and hands concern me. I initially thought it was just my body getting used to the bike, but now I'm not so sure.
I've tried moving my seat forward and backwards with the same result. I've tried adjusting the nose of my seat upwards, but it caused a worse pain in a much more delicate area. I have bought gloves with thick padding which helped a little, but not much. I went to my local bike shop and bought the pedals and shoes. The new shoes caused me even more pain than the sneakers I had been wearing. The shop owner asked me to pedal on my bike for a while so he could watch me and he didn't see anything abnormal thought he is not a fit specialist.
My last hope is to go to a specialist for a real bike fit, I'm just anxious about spending more money for them to tell me I've been riding the wrong bike, wrong shoes, wrong seat. Everyone I talk to gives me the look like they don't have any idea what I'm talking about when I mention it. Could it be that I am just that out of shape?
Edit for additional information:
I'm 5'11 and I'm riding a specialized 56cm road bike (pic). I do wear bike shorts and I have gotten over the initial saddle soreness phase and my sit bones don't have any discomfort compared to my feet and hands. I ride currently with my saddle horizontal. I get the sensation that my sit bones want to slide forward and straddle the skinnier part of the seat. I have tried just going a long with it during one ride, sliding forward. This resulted in my tailbone being extremely sore for a week.