When I ran out of diets to try! I had been thru the gambit of diets (insert what ever name you like) twice and I was to the point that with extreme effort I could only lose 15 lbs. It used to be I would only gain back to my starting weight but the last few go rounds it gain back to start and pack on more. After being on Jenny Craig all of last year and losing only 14lbs I gave up. I could not afford to keep spending my money on failed diets. So I decided to just not worry about my weight anymore. Well, that lasted about 3 months and I could not stand it anymore and reseached wls. I was to the point that I did not want to participate in anything cuz I was so tired all the time. I have Primary Biliary Cirrhosis, hypo thyroid, and high blood pressure. It was time. Started out thinking lapband and then found out about all the problems and switched to sleeve. Hoping to surgery in 6 weeks. Good luck!