i had my second adjustment on Oct 25... i got bumped up to 5cc from 4.5cc. So far i'm down 42lbs... since Aug 1. So looking forward to losing 2 more pounds to be out of the 300 club lol...... i haven't been this "small" since about 2008. Still have about 140lbs to go to my height determined weight goal of 161.8lbs.