How do you explain how good it feels to no longer have acid reflux? How do you describe how it feels to no longer have to take high blood pressure medication? It amazes me how much difference losing 65lbs (as of today) can make when it comes to quality of life. I know most people would answer your questions primarily regarding physical appearance. I think the major changes for me were in day to day health. To not worry about my blood pressure, or one of the most horrible ways to wake up during the dead of the night with reflux, would be the most important result of my weight loss. Looking better is a wonderful by-product!