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I would recommend Dr. Almanza to anyone that is considering Gastric Sleeve surgery. The facility is small, but very sanitary. Personnel was very helpful and answered any questions we had. The only change I would make if I had it to do over, is that I would have stayed a couple of extra days. Surgery on Friday and flying home on Monday was too much too soon. My blood count dropped after surgery, so I had a couple of weeks of not feeling too well until it came back up. I followed up with my doctor here as soon as I returned and started taking B-12 shots and vitamins.