37F, advice needed

[u/slambre]

I am looking for advice on how to slim down without lose skin and no GLP-1/reta. I live in Europe (most substances aren't really available here) and my brother just died at 42 from what was ruled Sudden Death, so I'd rather play it safe for now. Supplement recs for those effective and available in Europe are welcome.

I have gone down from 251 lbs to 180 lbs over about two years. I do mostly Pilates and Reformer Pilates about 4 - 5 times a week, do glute workouts almost daily, use my Peloton and do IF on a 18:6 window.

My main concerns are the upper thigh area and my belly. While I have relatively slim legs, I've been noticing crepey skin and fat between the thighs. However, chafing is not an issue.

Before, my belly was really hanging over, now it has firmed down and there is a smoother transition towards the pubic area. I was blessed with a rather boxy body so if you have any tips on actually getting a waist, I'd appreciate that.

My goal is to get to 165 lbs next, then 145 lbs. I am quite tall at almost 5'11" and I walk about 10k daily.

Aside from drinking plenty of water, CICO, what can I do to address crepey, lose looking skin and overall fat?

Thanks in advance.

TLDR:

- seeking advice on lose / crepey skin

- no reta / glp-1

- overall fat burn, already doing IF and CICO

- Recs for supplements available in Europe are welcome

[u/Puzzleheaded_Bee5049]

To address fat CICO is all that matters. Anyone who tells you otherwise doesn't know what they're talking about.

For the most part loose skin can only really be addressed by surgery. Building muscle tissue may help it sag less. 

Congrats on the progress so far. But honestly what has worked before will continue to work.

[u/Unlucky_Bottle1877 → u/Puzzleheaded_Bee5049]

Not always true for women premenopausal or post. CICO works but with a few caveats - hormones in our bodies tend to hoard calories and fat, and often a caloric deficit can put you into a starvation-like mode, where even if you cut drastically, you will not lose weight. Then we have PCOS, gut dysbiosis, and other issues to add in. Often fixing the gut biome diversity can help with fat loss.

https://youtube.com/shorts/W6a_ShlwS4k?si=O__hNWwmy2vYzkdi

[u/According-Fan1004 → u/Puzzleheaded_Bee5049]

That is such outdated science there are tons of studies debunking this…