Don't get discouraged. Your MD is more than likely trying to take it slow to avoid adjustments problems. Not to take more money. If you really believed that - he probably should not have been your first choice of a surgeon. I believe that they train to help people but yes they do have to make a living. If you check into the literature posted by the surgeons with the most experience...obrien, felding, allen, ortiz === all recommend a formulated pathway for adjustments. Your surgeon is probably going with the most experience instead of free lancing the adjustments. Too agressive of adjustments can lead you to problems. Since you are self pay, you do not want to increase your risk of problems. The smaller adjustments every 4-6 weeks give you time to adjust to your eating patterns. The weight loss will come!!! Hang in there:) Also there are 5 different size bands. I would not worry about the adjustment amount....I would concentrate on the things you can control....diet, excercise, making healthier choices, meal planning, educating yourself on nutrition and moving ahead with your new healthy lifestyle. Talk to other patients of your MD for support. Hopefully, your first 12 months were included in your financial package because the majority of the adjustments take place in the first 3-6 months. Dr Keith McEwen advises against telling patients their fluid amount because there is a pathway that is followed and should be followed for the best results. So the only reason you really should feel that you need to know the amount is if your switching surgeons. However, when they draw back- they would be able to see the amount. There are many things that influence the adjustments, amounts, size of bands, what you tell the doctor....so I would not worry....money is probably the last thing coming to your doctors mind. My doctor rarely knows who used insurance and who is private pay....usually only if the patient tells him. Most doctors are there for your surgery and surgical recovery....