WHAT IS WRONG? NO LOSS AFTER 1 YR

I had my surgery on Oct. 2001. I lost 40 lbs and by Dec. I got pregnant. I gained about 28 pounds which I have successfully lost. Most of it came off right after delivery. Now I am stuck. I finally lost 4 pounds but I had to excercise my butt off for 2 days. I do believe that pregnancy did stretch my pouch some. But not to the point of no return. I still get full, but only after 8 or so oz instead of 4-6. I can eat a small salad with cucumbers and carrots on it. When before I could only eat a half. I can eat whole taco now when before only half or maybe a couple of bites. In the morning I have half a banana and a slim fast shake for lunch I eat a salad with shredded chicken and for dinner I eat whatever I can make quickly.(3 kids at home) In between meals I am starving...I try to drink water but my stomach just growls! LOUDLY! I need help! I went through too much pain to not have anything to show for it! I know I need to just back on track, but I am having a hard time figuring out the direction to take. I am currently 236 down from 278. I need help.

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