Patient I started with us on May 5, 2015. At that time, she had a 43″ waist and weighed 226.2 lbs. By August 7 of that year, she had dropped 4″ around her waist and 46.2 lbs! And by November 3, she was at 170.2 lbs (down a total of 56 lbs) with a 34.9″ waist (down 8.1″)!