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Will admit that I am decidedly pill adverse too. Think a lot of us have become deeply suspicious of the pharma industry. But can't deny that they have over the years produced some very effective treatments. As with so much nowadays it's a matter of don't believe the hype and do your homework. After all, even "natural" remedies can still come with side effects and consequences. But acid reflux is 'orrible! :-(

Yes, big pharma has done some good stuff, in spite of the hype, but, like you say, just do your homework and things should be alright.

REALLY wish I could get a proper exercise programme in place. Unfortunately the Chronic Fatigue can be a bear to deal with sometimes. If I go slightly over my limit it takes days to get back on my feet. Almost literally 1 step forwards 2 steps back. But I had a plan that was working and just need to get back to it. As you mention, being sedentary is a surefire way to pile on the lbs.

Have a friend with CFS... Has to really watch himself as well. It's a nasty beggar...
I will admit, motivation to do the exercises was a tough one, but, having no choice but exercise is a great motivator, I just chose
an exercise program which is geared towards women/tg...

Majorly impressed with your weight loss! Can you put it down to anything in particular? I am not envious at all!!!!! ;-) My target is to shift another 50 lbs. If I could manage that I would be satisfied at the mo. Where I go from there could depend on how the NBE goes? Unintended consequences etc....

Well, I also have other stomach issues: Can't ingest dairy any more, get horrible gut aches
and nausea if I do (depending on how much I ingest) I miss pizza.... (No cheese, either, what's pizza without
cheese?)

So diet, (Extensive changes,) exercise. I am close enough to work that it only takes a few minutes to walk. I also had an exercise
bike... Burned it out, I rode it so much (actually, wore out 2 of them) So was going to the gym before my knee issues, plan
on going back.

Something you may want to consider. With the amount of weight loss we are talking about, helping the skin to shrink down and heal can be an issue. Have you thought about using Coconut Oil topically as skin care? It's reputation is very good for this and it's done amazing things for my skin I have to say.

Not having much trouble with my skin, my biggest issue is keeping out of the sun in the summer, it can do nasty
things to the skin.

Know some here still have SP in their programme. Which I think shows how we are all different and what works for some may not be so effective for others. But I can't honestly say it did much for me when I tried it and from what I have read SP can actually make for weight gain and cellulite and down regulates progesterone receptors. Many here have reported stomach upsets when taking it, and with your acid reflux you may want to take care?

I was having some blood pressure issues while on sp, but think it was more stress rather than sp, been off of it for a couple of years now,
blood pressure still up and down... Was also eating a lot of salty stuff.

Excellent news about no tinglies and vision issues. Don't want to be too dramatic, but diabetes can do damage before symptoms become apparent. You may want to have a look at EPO and green tea.

My Doctor is pretty quick when an issue is detected, he was on the prowl for side issues pretty quick, went to the optometrist
quick after the diagnosis, eyes are normal, no damage.

I am going to lose a bunch more weight before I get into any NBE program again, probably once I hit 250 or lower, just to see if
the combination of diet, exercise and nbe can do interesting things to the lower body geometry.