probiotics saved me. nausea, indigestion, reflux, heartburn, all gone. started with yogurt daily but added more probiotics since. now i only get stomach issues if i overeat. diarrhea is rare and mild when it happens.
The stomach skin wrinkling is fat loss ahead of elasticity - it typically improves over 6-12 months as skin catches up. Pepcid is the right tool for the burp side effect.
The skin response to weight loss is directly age-dependent - the elastin production that snaps skin back decreases significantly after 30 and the change between 35 and 45 is bigger than most people expect. 45 lbs of skin contraction at that pace is the mechanism, not the medication itself.
The tummy tuck conclusion is accurate for significant abdominal skin - the skin stretches past the point where elasticity can recover it, especially when the weight was carried long enough for collagen remodeling to follow the expanded shape. Non-surgical options help at the margins but don't address pannus formation or significant surface excess. The realistic frame is that surgery is the only definitive solution and should be planned after weight has been stable for at least 12 months.
The strategic wardrobe approach to loose skin is a perfectly reasonable practical response - the skin situation takes 12-18 months minimum to reach its final state after significant loss, and clothing choices manage the aesthetic question while that process plays out. the life-is-life framing is the right endpoint for most people; some skin changes at significant loss levels are permanent and the tradeoff calculation is usually clear