Can you Lose anymore once you start eating smaller portions and exercising again?

I had my surgery in August of 1998, and at the time I weighed 450 lbs. Exactly one year post-op I had lost 100 lbs. and weighed in at 350. Now its been three years since my surgery, I'm 25 and I weigh 380. I would like to get to my goal of weighing 150 lbs., so is it possible to start losing again like I was before if I started eating smaller portions and exercising like I'm supposed to. I'm afraid that my pouch is overstretched and my insurance company,BCBS of NC, will not allow me to have a second surgery based on their policy. I would love to hear from anyone regarding this.

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