Honestly, my weight loss has been gradual. My doctor is great, if I want a fill he puts it in and if it;s too much he sees you after hours (at no charge) to take some out. I didnt loose a lot of weight in the start, it took a good 4 months. But you know we are all different and loose at different rates. In a years time, look back and then total what you have lost and I bet it is much better than what you would have done without the band. Goodluck to you, you can do it!!