 [ Symptoms ] i have heard conflicting opinions 7 weeks of pregnancy what should my wife avoid eating and drinking  we just had our first appointment and the md said it was ok for her to have caffeine sushi and a drink as long as it was in moderation thoughts [ Disease ] hi first of all congratulations on losing 60 pounds that is awesome now on to your problem loose skin with massive weight loss is not uncommon losing it over 5 to 6 months is very healthy you did a great job the best way to tighten up is to weightstrength train yep start making more muscles weight training will tighten and tone up your body in a way that cardio simply will not be able to two to three times a week for 30 minute sessions add in some weight training there are many ways you can do this without a gym or a trainer just check out youtube and you will find a ton of exercises you can safely weight train and tone with just about anything in your house pilates will also help you to tighten up and tone as well if you want to start taking a class you should start noticing results within a month or two if you are consistent just remember to eatdrink lean protein at least 30 minutes post workout to really optimize on muscle building good luck