4 years out - Everything is normal but......
Blood Pressure: 120/80 Normal
Glucose: 82 Normal
Total Cholesterol: 154 Normal
HDL: 67 Ideal
LDL: 77 Ideal
Triglycerides: 49 Normal
Weight: 191 Overweight
BMI: 29 Overweight
So it says to figure your ideal weight to calculate it by taking 100 lbs for the first 5 feet of your height, and then 5 lbs for each additional inch. I am 5' 8". So apparently my ideal weight is 140, which would mean losing another 50 pounds. I would look severely ill if I lost that much more weight.
I know we aren't supposed to be a slave to the scale, but I weigh myself daily. That way if I stray off my comfortable range, I can make changes immediately. She warned me that a BMI of 30 would put me at obese :-/ As much as I know I wouldn't really be obese except on paper, those words stung a bit :(
I believe you are still a success, but you are smart to keep an eye on your weight and keep working at keeping it down. It's the only way...

Yup, I have skin too. If I could afford (or had the nerve to get) plastics, I'd probably "lose" another 10 lbs.
My thoughts are that your ideal weight is up to your PCP and you. As long as your doctors feel you are health and you feel great then, it is up to how you see yourself. If you like the way you look and feel than good for you just monitor your weight and enjoy life. But make damn sure you are not just justifying what you weigh now because you just do not want to put out the extra effort to go to the body you would really really really like to have. In the past, losing 100lbs 6 time and 200lbs once and having a TT. I never got to where I wanted to be and even after 8 years on maintenance, I gained most of it back. So if you are committed to the weight you are and feel you have no regrets then good for you and just have fun for the rest of your life. And for all those out there who say: “we do not all have to have movie star bodies", well OK unless that is what you want and some do.
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But the bottom line is that it sounds like you don't want to do that and are comfortable at your current weight. If your blood work is ideal, you feel healthy, and you don't develop any weight-related problems, I think you're in good shape. You've accepted and love your body as it is now and that is something very special. Her words may have hurt, but you've achieved something that it takes many people a lifetime to do.
Don't let someone else's measure of your success determine how you feel.
Long-term post-ops with regain struggles, click here to see some steps for getting back on track (without the 5-day pouch fad or liquid diet): http://www.obesityhelp.com/member/bananafish711/blog/2013/04/05/don-t-panic--believe-and-you-will-succeed-/
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Need a pick-me-up? Read this: http://www.lettersofnote.com/2009/10/it-will-be-sunny-one-day.html
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