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I lost this much by pretty much following exactly what they told me to do! I work out 5 times a week for 45 minutes and I eat basically only healthy, high quality foods. I try to stay away from processed foods as much as I can. I also drink a lot of water. My weight loss has slowed down considerably. I may need a fill, but it will be the first time that I have needed one and I am now 8 months post-op. My advice it to look at this process as an all around change and work on EVERYTHING! So, mentally, emotionally, physically and spiritually (whatever that means to you personally!). Good luck and I hope that you are successful