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My husband and I have been diet over 10 years nothing is working. We found Dr Almanza through Internet did Gastric Sleeve on 3July 2014. My husband lost 20 pounds I lost 12 pound IT IS WORKING. Keep losing weight daily basis. We are so happy I thank you Dr. Almanza. The staff members was so wonderful and take care of us as well. I certainly recommend to people. Thank God for Dr. Almanza.