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Went to the dr yesterday and saw a different dr who was filling in for my dr and he looked at my chart and said I was loosing between 4-6 pounds each month and didn't feel the need for a fill but I insisted and so he gave me 3cc's.I feel good today and the hunger is less but he felt I would b ok without. I just felt that if I'm loosing weight then I should get aa fill to continue the progress and avoid a slippage.