So I had my first fill today,

I had 4.5ml put into a 10ml band, the nurse said I should sit in the waiting room for 15 minutes and drink 2 cups of Water before I leave to make sure everything is ok, so I start to drink the water and can instantly feel that it's not going down smoothly, had to go back in and had 1ml removed, but now I feel like I've hardly got any restriction at all, I'm so surprised at how much difference that 1ml made and now feel that I'll be waiting another few weeks before I see any significant weight loss ????.

Anyone think I'll be able to take more of a fill in a few weeks?

Absolutely. It's great that you recognized that you had been overfilled right away, and that they team removed some saline immediately. It's best to build up your fills slowly, imho, rather than get overfilled and have to resort to soft calorie syndrome (perhaps even gaining wait because you can't get down dense Protein, but ice cream goes down just fine).

You can still practice good band habits as you build your fills. "Pretend" you are at optimal fill level until you get there.

Hi there, my body takes a little while to settle in after a fill and there can be variations day to day. Sounds like you are learning how to listen to your body, which is such a great thing. I am learning that hunger is not my enemy. The band helps me slow down, listen and make good choices. The links below in my signature really helped me understand how it works -- maybe they will help you, too. I must have read the Simpson pieces a hundred times to get the message through my head, the Lapband is not about restriction. So, no, we don't want to be too tight, we want the signaling to be happening for satiety.....you are doing great! Good for you working with your medical professionals over time to get your band right where it should be. It is a process.