i have been on this plateau for 7 months can anyone help???

I lose a pound and gain a pound i dont know what else to do im taking my vitamins drinking my protien and exercising i also hold 2 jobs and walk all day i dont know what else to do i eat peanut butter and if that doesnt do i eat graham crackers my doc says i need to lose 15 more lbs to have plastic surgery and my surgeon says im okay the skin weighs quite a bit and even after i have this tummy tuck i will lose a few more pounds........ can anyone tell me what is happening and what i can do aboout it?

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