Hi Dennis. I am entering my third year post TX on January 7. I definitely felt muscle loss in my body and also felt stronger- I know it sounds like a contradiction but I think recovery is so individual. Part of the need for my transplant was the fact that my heart was getting only 30% of the needed oxygen to my muscle masses. I was working out prior to the transplant, (my insurance allowed me to do this through cardiac rehab after I needed cardioversion), and I was on IV meds. I was in "good shape' after surgery and was out of my bed later in the day. I was walking around the ICU the next day. I felt great. But I could tell I lost muscle control in my 'behind'… and in my arms. So my first business was to try to recover this. I was 63 at the time of my surgery and I still feel unconditioned at times and have to 'start over'. At times, things don't seem to progress with exercise, but I persevere. Hope this helps!