I'm almost 9 months post op and I've only lost 48 pounds. I have, what I think, is good restriction, however, I can take much bigger bites than I think I'm supposed to and I can eat more, sometimes, than I I'm supposed to. But there are other times when I can barely get anything down and don't eat even half a portion. So I'm confused. Like right now. I'm going to finish my McDonald's salad, which I really don't think I should be able to do. And I know that my bites are bigger than I should be able to eat. Do I need a fill or don't I? I haven't been to see my doctor in a while and I know I should just call them and they'll tell me to come in. But what are your opinions? Thanks for the help!!!

I'm almost 9 months post op and I've only lost 48 pounds.

There's that 'only' word again! You have done a GREAT job! That's 1.3 pounds a week, which is right in the range of recommended weight loss per week. A healthy rate is 1-2 pounds per week.

Take an honest look at the three zones here:

http://www.lapband.com/en/live_healthy_lapband/about_adjustments/

Talk with your doctor about your uncertainty. See what the office staff has to say. It sounds to me like you don't need a fill, because your weight loss is on track, and you are mentioning restriction at times. Maybe keep a daily diary of how each meal went. List bite sizes, chewing intensity, presence of discomfort while eating, and see if there are patterns. Some women mention that tightness accompanies their period. I don't notice that for myself, but I do notice certain times that are tighter than others, like late at night or early morning.

Good luck!