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This was the best decision I have made of late. The staff was excellent and the group I was with will be friendships that last a long time. I received the best of care, around the clock monitoring and great support. I experienced gas pains initially but since my surgery I have had no pain, no nausea/vomiting and little hunger. I have advanced my diet slowly per orders, am 2 weeks post surgery and have lost 25 pounds. I do not experience hunger as before and can actually stop when I am satisfied, not full. I appreciate the correspondence before and after surgery and I would not hesitate to recommend Dr. Almanza to others. Thank you for the first step in my lifestyle change!