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A friend loses weight once a year by going to india for a few months - always comes back with the trots, but can always pull his jeans down without undoing them (does it in pub - look how much weight I have lost.I have had the prescribed pills, and they do work, although cant get them here now as they are not prescribed. Swimming is a very good all round toner - and as you know, muscle weighs more than fat. Having been annorexic and bulimic - I was finaly happy with my size - although I was heavier than I had been for years - swimming changed my body shape, that and cycling. Instead of just scales - try using a tape measure if there are parts you want to trim.
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