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I had given up with any weight loss program. Nothing seemed to work for me and I was in danger of losing my nursing job because the pain in my knees was too great due to my weight. I already had bilateral knee replacements. I decided to give Dr. Almanza a try. I was alittle nervous about going to Mexico for this surgery but now I am so glad I did. I have lost 65 pounds since my surgery and I feel so great. Go for it!