I think slower is better. I had the Lap Band before for almost 8 yrs. i lost 22 lbs per month, but Im now convinced that I was dehydrated. The sleeve uas been slower but I feel like it will stay off. And I am smaller now than I was at this weight previously. And my face is much thinner than it was at this same weight and my skin is tightening up. Honestly....i havent been excersising. I will work on that!