Had my appointment a few weeks ago now & the surgeon could see I was in pain. He took 2mls out of my band I had 7.5mls in. I hadn't had a fill for about 7 months thats what I couldn't understand. I put mine down to stress(my youngest son is leaving the nest soon so I have been quite uptight). Within 1hr I felt heaps better. I will have to be careful not to overeat now so its definitely mind over matter for me now. I have only 5 kgs to go to my goal weight (I know i have to be careful). I have lost 18.5kgs. I just hated feeling sick & being sick.& the pain in my right shoulder was there most of the time. The doctor gave me until 10.ooam the next morning to see how I was otherwise he was going to put the camera down & have a look. I never thought of myself as very uptight or stressed person but the band has taught me that inwardly that is not the case (something happens in the work place i can feel the band tightening). I feel a million bucks since I saw him & I will keep you posted. The heat could make a difference maybe with Fluid retention? Keep in touch