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My insurance would not cover the operation in the states and overall cost here too high. Found Weight Loss Agents and Dr. Almanza on the internet. I had questions and doubts about this being a scam but proceeded anyway. I was picked up at the airport and there was another person in the car. She informed me that she knew a few people that had surgery here and quelled my fears. She also explained what the hospital was like as not what we expect here in the states. Actually a clinic that is clean and attending personnel were great. I have lost 50# in less than 2 months, was 288 now 238 and off 2 of my meds. I med has been reduced by 3/4 and expect to be off both of them within the next 1-2 months. My surgery, plane flight and assosciated costs were about the same as just the Dr.'s fee here in the states. Go ahead, Just Do It!!!!