Hello...I started at 321 preop...Doctor did not require diet...To date I have lost 100lbs...My anniversary date will be next Tuesday 6/19...Object of the game, when you start feeling full, STOP EATING!...It can be done if you follow the diet...I have not always followed the diet...I've eaten fried food, but in moderation...Most times, meats are grilled, broiled, or stewed...I eat what I want, and am still losing weight...However, I have lost it slowly to which I am happy...I do not have sagging skin...Best wishes to you...