My start weight was 340# as of Dec1,2017 for pre-op. To date i have lost 120lbs. I have not weight 220 lbs in forty years. My muscles are retraining themselves to handle a much lighter me. Things ive notice that have changed, i can bend over an tie my shoes, i can walk with out running out of air, ive lost 14 inches off my waist, our grocery bill has went down, im off my type2 diabetic medicine, working on going off blood pressure pills, an last but not least off those dreaded water pills that make you go pee every 20 minutes 24/7. Was it worth the minor problems to get the sleeve. Hell Yes id do it again an i would go back to Mexico to Doctor Mario Almanza.