After 3 weeks of being sleeved, especially if you have a lot to lose, start going to the gym IMMEDIATELY. You DON'T have to start cardio but you DHOULD start a weight training regimen. This will greatly assist in the saggy and loose skin problem. TRUST ME. As a trainer, one of my clients is 44 years old and weighed 402 lbs. He had the sleeve almost a year and change now and I realized after losing all that weight he has little to no loose or saggy skin... He weighs 202 right now and looks like a trainer himself.

I understand some drs may tell u to wait a little longer but three weeks is the best time to start! Even if it's light training every bit helps because your body will notice it before you do.

Wow, reading this has been very informative! Jimmy you are awesome, thank you.

The pleasure is all mine. Knowing that you're seeing results puts a smile on my face. Glad the knowledge is paying off... As far as the scale do not worry about it at all. Your weight will fluctuate often giving you sporadic #s. focus on how you feel, clothes fit, and looks in the mirror... These should always be you motivators when working out in the gym, never the scale.

Take pictures of before and after every single 1st of the month and compare to last months results to add a bigger motivational intensity.

I committed to not weighing myself for two weeks as of today. Well, I think I might go longer than 2 weeks now...we'll see. I'm gonna start taking more pics, too. Great advice.