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I am 5'10, have lost 82 pounds so far--was super morbidly obese when I started the process, am now in the morbidly obese category--still a long ways to go!! But, slowly and steadily it's working, and the weight is decreasing. I too have a small frame.
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I have always hated the gym, especially change rooms and so, I have found other ways to work out--I only just joined here but have released 80 pounds in the last two years by watching what I eat--I eat Canada's Food Guide. --and walking, and using the wii to workout at home doing a variety of different activities.