I too am a patient at CWM! I am a patient of Dr. Kuwada, I am scheduled for LB surgery on the 30th of this month. He has told me over and over that is it a SLOW process. I think you have done great with your weight loss, 65 lbs. in less than a year is AWESOME!!! Your should be very proud of yourself! Remember SLOW and STEADY!! Dr. Kuwada says that the slower it comes off, the more likely it is to STAY off!! Good Luck!