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So I haven't seen the sub-200 zone in quite a long time (maybe 15 years) and I wanted to say thank you for all the support this forum has offered. Down to 198 and feeling fine. Still some trouble with solid food, particularly meat or dense proteins. Still some issues with gout. But in general I feel great and have no regrets. I'm still out of work, but unfortunately I don't have any control over that process (all the t's are crossed and i's are dotted...just waiting and waiting and waiting).
The only advice I can offer to anyone; hang in there. If I can do it, you can too.