I was a heavy soda pop drinker before the surgery. It seems a few positives exist. Like not drinking soda anymore. Drinking water and tea. Staying away from sugary drinks. But it seems the positives just aren't enough due to my extreme appetite. And easy caloric intake. I know the pouch is a tool. But so is a saw. And if the saw ain't sharp it doesn't cut the wood. My pouch just isn't cutting it.