my doctor tells me to come in whenever i feel that i need a fill and then he asks me how much am i eating and a whole bunch of questions to determine how much i need and he will ask me how much i want in. The team of Doctors here in Bakersfield, Ca are very good and really care about us patients.. At our monthly support groupd at the hospital all the surgeons show up to check on all of us also... But I am glad all of you are doing good:clap2: