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I fought surgery for a long time but due to progressing health issues i had to do it. It has only been since Nov. 28th since I began my pre op. but I have lost 57 lbs. I went from 474 to 417 and I feel great. Dr. Almanza and his staff were great and the hospital extremly clean and beautiful. I dont know what will happen down the line but my experience now is that my life is changed for the good I finally got it back. Thank you to Dr. Almanza and staff.