I am almost 3 years out. I started at 386, got to 178, then got back up to 210. I have been working with my surgeon, and I am down to 199 now. His advice was to keep my calories between 1000 and 1200, and avoid carbs. In his words "Carbs are your enemy". I honestly don't think that every rule applies to everyone, but that seems to be true for me. He also had me change my workout routine. I was doing a lot of cardio with some strength training mixed in. His advice was to not focus as much on cardio, bump up the strength, mix up my workouts, do HIIT, and with doing that, I am losing and my body is also in much better shape. Currently my workout routine is 30 day shred daily, yoga twice a week, and 30 minutes of HIIT cardio about 5 times a week. You can totally lose that final 40. Like anbdr said, get back to the basics, and don't worry if it takes a little trial and error, just keep trying. Your body is different two years out and what worked in the beginning might not work now.