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I have for years had weight issues. I was miserable and my weight just kept climbing until I was looking on the web for weight loss surgery sites, when I got info for Dr. Almanza. I checked it out and followed through with the sleeve surgery and have lost 130 pounds and am still losing. Just check with with your family doctor because it is hard to find someone when you get home to help you even or give advice so find out the vitamins and such. I have been taken off my blood pressure and diabetes medicine. If I had to do it over again I would not hesitate.