Hey Randy...I hear you...but would it be safe to say that you were highly motivated at this time...motivated enough to shell out $500 AND go to a Dr. to make sure that this new diet program would work safely....motivated enough to make sure that you followed the recommended VLCD so that you didn't waste your $$.

Just for the record, I too have lost weight and gained weight a few times in my life...doesn't make me a dumb ass either. I'm 56 and so far have a better understanding and self awareness of what I need to do to maintain a long term healthy weight...my hope and prayer is that this is enough to keep me on track going forward through the decades I hope I have left to live...my biggest comfort is that I do not feel like I am on a diet AND I now have tools and support to correct the inevitable life situations that can attempt to derail us all on our journey.

Good luck Randy on your future weight (fat loss) journey, You have found a great place here at FS, although maybe you are wondering about that since our recent responses to your post. If you want a buddy, feel free to add me...I can relate to your situation as much as anyone here, take care mate!!

We don't always have to be so politically correct and preface all our comments with "if it works for you fine". Especially if this is not his first rodeo. Cause contrarily, all his actions sound like he is new to this dieting thing, one, and two, desperate to try anything to lose the weight.

If you think it works for you that's fine - it's not about denouncing anything but bringing wider understanding to what we do and there being no scientific evidence behind the efficacy of fertility hormone injections for weight loss - but I can totally understand why now, at this stage, that simply wouldn't matter to you - it worked for you and you're at a point where you have lost weight.

What I would be looking at, if I were you is the yo-yo cycle and the fact that this is your 4th time - I'd be asking myself what's going to make the difference to me for long term maintenance? What habits have I formed? How is my life different now that I am a lower weight than before and How am I not going to be at the point where I need to take extreme dieting measures again?

That would be where I'd want to be - and I speak from the experience of 30 years yo-yoing before finding a path to maintenance for me .. there is a huge psychological and physical difference between yo-yo dieting and establishing maintenance