 [ Symptoms ] can pregnancy age 51 after having tubes tied over 9 yrs symptomsno menstral 3 mo nausea vomiting tired + ept i tested positive on the ept is it possible that menopaus can give same symptoms as pregnancy  i have not had a menstral cycle in 3 months nausea with certain smells hot flashes slight poofing starting swelling in ankles all the signs of pregnancy however i had my tube tied in 2006 [ 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