it takes a while to get the right fill (sweet spot as its called) took me around 2 yrs and you need to find an aggressive, yet safe, doc and its not easy to live with i stayed hungry for a time 6-12 months after a successful fill, still had the urge just not the ability so that was one thing, then i hit my stride, but the fills i thought were the fills, not so much each doc/practitioner is different, definitely i'm a fluoroscope fan, only way to go and definitely done in a fully upright position my first fill was done in a dentist type chair; i was too naive to question mine is a mexican band, tijuana dr. ortiz 2007 and i've been very happy i was non-compliant with the pre-op diet (and i'm a RN---obviously out of control) and self pay (obviously) so it took a while to get underway plus i had an hiatal hernia which was repaired during surgery started finally taking the weight off after i was filled by dr. vitello in chicago prolly end of 08 or beginning of 09, great technique and i'd recommend him highly but he's not doing fills any longs at any rate, i've been to him several times on my journey fills, unfills at times when i just needed a break ( this has only been twice with maybe 3-4 fills) thats my story 2/07 276 # 4/11 149# 5'6" dunno my BMI but this was my goal and i want to get a ltttle restriction out so i can start training myself to eat a little more normal as i don't tolerate some things like steak, chickenm just working on my plan a suggestion for a doc in st. louis or somewhere anywhere close and reasonable would be appreciated thanks roxanne