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My brother and I both had the sleeve with Dr Almanza on 2/10/16. As someone who has struggled with my weight my entire life I can say it's the best decision I've ever made. I returned with my wife on 3/9/16 and she was sleeved with Dr Almanza. All of our lives have changed for the better. I've lost 88 lbs my wife 70 and my brother 90+. We have not had any negative Heath related side effects. No longer on any medications. Run and workout daily. 44 pants to 36 . It's awesome. A few days of discomfort is well worth the positive life change we have experienced. Go for it and God bless .