I don't think they really know what causes it. Take care of yourself. If I had it I'd be trying everything suggested. I have seen cases from mild to very serious.
Do you have a good Dr? I'd be tempted to ask him if getting rid of the extra skin could help it. Maybe you could have your insurance company pay for surgery - if you wanted it. I may be way off track but in my mind excess skin could be a complication to your circulatory system. Worth researching.
Restarting Jan 11th, 2014
Starting weight: 201.6
Current weight: June 9, 2014 181.4
June 30th goal = 170
Ultimate goal Undecided ? 150 to be assessed once maintained for a while
Height 5' 3"