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Health, I think a little sensitivity would be in order here. It’s obvious that for the OP, this is a big accomplishment. To say “Keep trying” in such a situation is really uncalled for. I understand that you’re not a shrink, but if you’re going to be practicing medicine in real life, it wouldn’t hurt to know how to speak to people with a little more thoughtfulness. If a 250-lb. female patient is told to lose weight and she successfully brings her weight down to 180 lbs., will you praise her for it or will you say, “Well, you really should only weight 140. Keep trying!” Even if she should be encouraged to lose more, it would be very rude and discouraging not to praise her for what she has already accomplished.