I have post operative Gastroparesis ..after a botched surgery done at my local clinic... that damaged many of the hairnet like network of nerves that empty the stomach.. Mayo nutritionist helped me try to gain back some of the 50 pounds I lost.. from 190... on a 5'-10 frame.. so now I have gained back 30 pounds.. I have ice cream after lunch and dinner.. but in reality it have a big container of trail mix that I make up using good unsalted mixed nuts, dried fruits such as craisins, and or apricots.. and peanut M&Ms.. that I eat some every time I go through the kitchen.. I cook for myself.. and I have slacked off of the strenuous exercise... Thats what people who want to lose weight do... right.. I have gained back 30 pounds.. that has taken 4 yrs... but Holiday time is a good time.. eat fruits.. and all those great home Christmas goodies.. just had some toffee...