i w dont know what state you live in but i live in mass.i am also new..it is along haul.. sfirst you have to see a nutritionist make sure u do what they tell u to do...you have to have a pysch evaluation,gallbladder ultrasound and you have to go to support group meetings after your first appt. with the nutritionist you have to go them again and they want you to start dieting right away..also you can not eat and drink at the same time anymore..that is wha i ahve been through so far