I recently had my 1 month check up and it turns out i went from 270 to 230lbs. Is that a decent amount? Is that too much? Im in a bit of a stall now I actually gained a few pounds and im really scared I'm messing up big time somehow. My nurse just reminded me to drink more water. Is there anything else I should be doing?

40lbs a month is very good ?

Keep your protein and water up.

That’s awesome!! My doc told me there was no such thing as loosing too fast.

It's very good - most who lose that much the first month started at a higher weight. Don't worry, though - next month will likely be half that, or maybe less. The first month is almost always a big number as a lot of water weight gets lost at first.