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Hi Shelley! I have been at 49 for about 1.5 months. I am stuck right now too! I got a fill last week and I can tell a difference. Hopefully this will help give me a little boost! And yes, what you are talking about happens to me too! And the doctor says its normal! I have my moments and a lot of it depends on the situation when I am actually eating. I have to sit down and relax and not RUSH! That always gets to me! I just can't eat fast! Please keep me posted on your progress too! Take care! Laura