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This morning I had my first follow up appointment in 6 months. I had been struggling the last week or so deciding on whether or not to get a fill. I got some good advice and some suggestions and after talking with the PA today we decided there is no need for one right now. I am eating 3 meals a day with no snacking or cravings. I am going anywhere from 3 to 5 hours without getting hungry and I have found for me I tend to get hungry sooner after having the shake but with real actual food I can go 5 or 6 hours. At the end of the day I do believe I was factoring my fill needs on 1. Getting hungry at times sooner than what I was months ago. 2. Scale is not where I wanted it to be. So....# 1 is OK as I have narrowed it down to why I get hungry sooner and I can adjust. #2 is definitely not a good reason for a fill. Getting a fill certainly has nothing to do with the scale and getting a fill will not help the scale move any faster. Thank you to Missy for reaffirming that for me. I mean I knew in the back of my mind it was not a valid reason for fill but hearing it from someone else just made more sense. I also found this morning that my last fill was not in April it was actually back in January when I got .5cc. I had it written down in a notebook but hadn't actually looked it in a while. Lastly, my PA is going to work on getting insurance approval for a new sleep study. 240lbs later it is obvious an adjustment is need on my CPAP. Other then that I am living the dream and enjoying life. Happy 5th Anniversary to my beautiful wife Kelli (Kelli1016). If you read this then I wish you a happy Friday and I hope you're doing well and rocking your band or preop diet!!