I am 3 years out this May and have gained back all of my weight plus some. The sleeve is a tool. I got so sick of eating shakes, Protein and other repititious stuff that I finally had a piece of chocolate cake. Then discovering that it slid right on down I added more and more. I am back into a size 3x and worse than ever. I try to go back but the sugar is everywhere. I emotionally eat and did not get enough counselling or support to help me through this. I am so sorry I ever wasted my money and time. Make sure you are aware of what you are doing .....If I felt like a failure before I sure am feeling double now.