Hey Josh, sorry about the late reply. Work and all...you know how it goes. Galya hit on many of the questions I might have asked. I am not sure, though, that I would jump head-long into a PSMF though. What sort of recommendations did the surgeon make? What is the timeframe in which she needs to lose this 100 lbs? Age? Ht? Wt? Medical History, etc all the usual stuff... feel free to PM me if you'd like...
I am glad to hear that she is able to swim. How often does she swim? The arm device you mention could be useful. My initial temptation is to say stick with what is working. If she is making consistent progress with the current plan and is able to continue sticking to it, and these results fit within the surgeon's timeframe.....perhaps your plan isn't so bad? There will always be little things we could do better with any diet but in the big scheme of things, what isn't quite what you think it should be about her diet/progress/etc?
Newman
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