Hi, Kim: I'm just a newbie but here's a perspective that may help: Understandably, you are frustrated with your "slow" weight loss. I completely get that and understand your frustration (you and I are similar sizes and I struggle with similar issues). However, most "lower BMI" patients aren't going to lose weight as fast as those with more to lose. You have lost 19 lbs. which is approximately 30% of your excess weight (your chart indicates that you have 43 more lbs. to lose)!! That's phenomenal. You should be proud of making that happen. If you had 100 lbs. to lose and lost 30%, you'd be looking at a THIRTY pound loss! So please be kind to your body. It will lose its excess weight with the assistance of more fills, exercise, and healthy eating. But your body's schedule for losing the weight may not be in sync with your desires. Hang in there!