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If you're following your doctor's plan, then I'm sure you're okay. I'm just a chicken and stick to my doctor's plan exactly even though he is pretty conservative. The Carnation Instant Breakfast drink is good, kind of like a thick glass of chocolate milk -not really a shake. I really could drink more than 4 oz -maybe even a full drink, but I'm too afraid. I've been getting out a little more since I can drive again. No more pain medication. I'm down to 211 from my starting weight in Nov of 247. I couldn't help it, I just had to weigh myself!