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I lost a bit more than 320lbs within 2 years and had some problems concerning the musles of my back, which was pretty painful. Starting with muscle-gaining "cured" it within a month. Concerning your friends foot-pain i had some kind of "pressure fractures" when i was very heavy, but that resolved after loosing the weight
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In my oppinion it's a personal thing - i dropped my 320+ pounds in about 1,75 years. If you come from such a high weight there always will be saggy skin - no matter how slow you loose it. If i did only 1 pound per week i would be dead by now. But for "normal" weight losses i think it's better to head for a slow and steady…
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I think it depends on a lot of things - if you feel dizzy go to a doctor and also check your blood pressure. I myself got a HR from 40-60 with lows at about 30 without any symptoms. But if my blood pressure drops below about 90/50 i am getting dizzy. I consume more salt/electrolytes to keep my blood pressure above that…
