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Having the gastric sleeve done to me by DR. ALMANZA was one of the best decisions I've ever made in my life... Before my sleeve I was always tired and out of breath , since may 31st of 2013 I've lost 60 lbs and I feel a 100x better... Not only does DR. ALMANZA gives you a new life to live but he also saves you money.... I WOULD DO IT ALL OVER AGAIN... Everybody in Tijuana was very nice, helpful, and respectful... Most definitely the cleanest hospital I've ever been in... I promise you.... Great Experience!!!!