 [ Symptoms ] mom process conducted cancerous tumor in the liver by the microwave tumor size of 2 cm kind hcc analysis of alpha fetoprotein before surgery 37and normal was 15 a week after surgery 22 7 normall 10 why did not the result appears normal after getting rid of the cancerous tumor what medications that must be addressed now after the operation so as not to come back again the tumor is infected with virus c and cirrhosis of the liver and blood pressure and of diabetes at the age of 54 thanks [ 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