Body dysmorphia after significant loss is genuinely common and underreported. The brain's reference point for 'normal' gets calibrated over years and doesn't update at the same rate the body changes. Down 40 lbs from 208 with the scale now stalling is exactly the profile where composition is still changing even when weight isn't - muscle gain concurrent with fat loss produces that pattern. The clothes-fitting approach is more informative than the scale at this stage. If you're training, your body is recomposing rather than stalled. The disconnect between what you see in the mirror and what's actually happening in the tissues is a real lag, not a judgment about progress.