So you think this is just a trumped up picture. Oh but nay.........this is my grand daughter, who has worked very hard at this. I truly believe there was an easier way, but she chose to get it done the medical way. All this was accomplished while going to nursing school, and working part-time. I know she could have gotten the same effects, with Skinny Fiber Care, but I'm just glad she did it, for her health. She's still following up and keeping at it, by going to the gym several times a week, and playing on a softball team, locally. I'm very proud of this young lady, and see great things happening for her in the future.