Same age here and lost seventy pounds. At our point in life a regular diet would eat up muscle too. Patience helps as skin and body catch up over time.
Dental health actually ties directly to heart health in ways a lot of people don't realize. Gum disease can increase heart attack and stroke risk. I've been strict about dentist visits every six months and plan to keep that up even after I hit Medicare.
Vendor history of abandoning customers twice is the kind of thing that's hard to move past regardless of current quality - trust rebuilds through demonstrated consistency over time, not just reopening the store. The 230 to 173 progress shows the medication side worked regardless.