Thank you all for your input. I have not tracked what I eat and I eat way more than a cup for most meals. I will start tracking today and make my 1 year follow up appointment. I saw a nutritionist before every fill I received and up until April of this year I had been keeping up with my appointments. But when the PA told me I was at the max for fills I got discouraged about going back. I did not imagine still having this struggle when I got the surgery