I'm more than nine months out now, and it has flown by! Down 92 pounds since my first appointment (66 since surgery). I've come to realize that this is about as far as the sleeve alone will take me "easily". My winter stall only ended when I upped the duration and intensity of my exercise. Need a few solid hours of power walking or jogging minimum to continue losing. Thankfully the loss has made exercise more fun and easy; I can run without knee pain (wearing correct shoes)! Overall I feel much better, am healthier, more comfortable, more confident.
But at the same time, I'm noticing my body's deflation-- not bad in the most visible places but very noticeable in others. That skin fold above my groin chafes when I exercise and gets infected no matter what I do to keep it clean, dry, secure, treated, etc. Other areas rub and flap, too. Knew I'd probably need plastic surgery but held out hope that losing gradually and being young might work in my favor. In front of the mirror I fold in my tummy skin and pull up the extra skin on my legs and butt and can see and feel the potential for a more normal body, yet I know major body contouring is more dangerous than the sleeve surgery itself and a experienced, high-quality surgeon in the U.S. will cost a year's salary. I look smaller in clothes but still have lumps and rolls in the same places. My hair is still falling out, too, currently at less than half its normal thickness. Yes, have been taking all those extra recommended Vitamins, but it hasn't helped. Oh, well. 
Despite these things I am so happy to have gotten the sleeve and come this far! Wouldn't trade the experience!
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