Almost 5 years out- gained half of loss back

Give it everything you've got!

Now, if you know you've given it your all and it's still not working, you could simply need more. That's the key difference between the DS and the sleeve. The DS works for the long-term maintenance, and just like you, it's the sleeve that drops the pounds at first. Some people just need more, but don't even consider this until you've proven that you can't do it yourself. I threw this out there so if it didn't work as planned, you don't brand yourself a failure.

Yes remember protein first and dense protein will keep you fuller longer...