Thanks. My problem is, that even after I eat, I am hungry. There is never any full. I would love to be able to sit down and eat, and 30 minutes later, not feel like I haven't eaten all day. I did Medifast for 3 months, along with exercise, and was sick the whole time because the hunger made me nearly throw up. So I added more Protein to my meals and upped my caloric intake to 1500, and then I lost nothing. A month of that and I was completely frustrated. It's like, I can stick to the diets, but the frustration with the constant hunger drives me to quitting. I usually end up depressed and hating myself for not being strong enough to overcome the hunger. I am really hoping that I can feel full after meals with one of these surgeries so I can stick to the healthy eating. I have heard of bypass patients pouches stretching out after several years, but I don't know any sleeve patients. I wonder what the rate of stretching back out is on them?