Love the caption. It's good to have a sense of humor.
PCOS can cause weight fluctuations. I am sure her weight gain was probably a combination of PCOS and other factors, including potentially a depressive eating disorder. Surgeries like liposuction can only do so much. For the kind of weight loss that Sarah has and to maintain it, you need a good diet and exercise regiment.
Fortunately for Sarah, she hails from a privileged and wealthy family that can afford to hire fitness instructors and nutritionists to facilitate weight loss. She can focus on weight loss and not be distracted by other concerns of daily life.
Look her weightloss is commendable. It reflects a lot of discipline and determination. But I always feel for the average folks who gain weight either due to health issues or personal negligence. It is often an uphill task for them to lose weight.
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