When I go for adjustment 99% of the time it's from a PA and no fluoroscopy is done, just add liquid or take out liquid. I hate to say this, but I've given up on adjustments at this point. I'm a self-pay lapbander and this has cost me BIG TIME. I'm really happy to have my lapband and do not regret it, I'd do it all over again. Maybe instead I would've done the sleeve, the lapband is so unpredictable, one day it's fine, days later very tight, it's just too unpredictable.
You are so right a small tweak here or there can really make a difference. For me I've resigned myself to use my tool properly and start over again. I really think that's what I need to do. I'm excited that I am following the rules again, going back to what I did when I first got my band and how careful I was. I'm doing that again starting today and recommitting myself to using the tool the right way and stop making excuses. I think the level I'm at is just fine, I still have the potential of getting stuck and having an episode, so I think my level is ok, I just have to get back to basics.