ok so I normally don't have the most feminine hands, but my new puffy man hands are impressive. Not sure the photo really expresses it well, but they are so swollen that my knuckles ache! This is a morning pic of the toes...by evening there is no space between my toes! Sofia has moved down a bit...I have noticed I can eat more at each meal! YIPEE! This has come with a price though...many more trips to the bathroom. I will take it though to eat a little more!