Patients with a high Body Mass Index may require follow up surgery in order to reach their weight loss goals. Complications from stomach stapling may occur. Other risks and complications may include; deep vein thrombosis, ulcers, gastric leakage and fistula, pulmonary embolus, ulcers & dyspepsia. Following adjustable gastric banding, patients consume a liquid–only diet and gradually resume consumption of solid foods according to their specific weight management plan. The first fill is not made until the stomach heals from surgery, approximately six weeks following surgery. Adjustments to the gastric band are made four to six times in the first year, in order to ensure optimal fit and encourage continued weight loss. Band adjustments are painless and generally made during a regular office visit. Weight loss associated with the LAP–BAND® is more gradual than with some other weight loss surgeries, about five to 10 pounds a month.