After much thought I got gastric sleeve surgery at 21 years old after dealing with weight issues my entire life. I was still young and I wanted the tool to gain my life back. I lost 60 lbs and then broke my ankle which halted further progress because I was non-weight bearing for 10 weeks. I also started vet school and did a lot of stress eating, however I was still able to maintain my weight pretty well. I've gotten a second wind to reach my goal and even 3 years post-op I'm still able to manage CICO easily thanks to my tool. I'm slowly but steadily reaching my goal that I once thought was unobtainable. What I do - CICO CICO CICO! I watch where my calories are coming from (more protein & fiber preferably). I would like to have the time to exercise, but that might have to wait until after graduation lol.