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Other than hitting a platu every other week or so, no struggles yet. My preop diet consisted of 2 EAS low carb protien drinks a day and one 250 calorie or less/ 15 carb or less "Smart One" frozen meal a day. A LOT of water and a some sugar free jello here and there- pretty simple. I know the first week was tough, B/C I hate sleeping on my back! I am very happy to be back on the tummy!