After 30 months since lap banding, I am noticing more hunger than before. I've been a total success story as I've lost about 90% of my excess body weight. Over the past 4 or five weeks, I've noticed that I cannot stay full for longer and an hour -- that was not the case prior. I have less than 5 ccs of fill -- does the fluid in the band evaporate over time. If so, is it necessary to get additional fill?

It sure sounds like you need a fill...there are several reasons the band stops giving good restriction, the main one being the loss of fat between the band and the stomach.

You have done wonderful, don't be afraid of getting a small fill.

Mimi

You are supposed to go back and see your Dr at least once a year. You may need just a tiny top up fill. A small amount of fluid does get lost from your band over time.

I also think that it is normal for the effects of the band to start wearing off over time. The further out from surgery you are the easier it becomes to eat foods that previously may have been difficult. The first period after WLS(any type) is often referred to as the honeymoon period. Your tool is at it's most effective and your motivation is at it's highest. After a while you get used to each other and become more comfortable, you let down your guard a bit, you don't make as much effort etc. That is why people should aim to lose as much of their excess weight as possible and to learn good habits during this initial period so that it is not so difficult to maintain after the honeymoon period is over.