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Couple of other things come to mind, and I've seen other people touch on this as well-- You've worked out your specific "program" based on trial and error and research. You've stuck it out and made significant gains (or losses, to state it better), like 50, 60, 70 lbs or more. You absolutely look different and people take…
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Loose skin. I'm 80 lbs into what will eventually be 120 lbs lost. I'm able to get out and jog now and really enjoy it, but I'm hugely self conscious of the flap-flap-flapping of my wings. Some of you know what I'm talking about. lol