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This is the best thing I have done for myself. The sleeve does not cure head hunger, but, it does limit what you eat in one sitting, and that is what I expected and received. I have lost 65 lbs. and am not gaining an ounce back. I eat anything I want, but in moderation. I love it! Dr. Almanza and the entire process is exactly as advertised and I did not have any surprises or complications. His office does their best and will take care of you as good if not better than in an American clinic, mainly because they are very experienced, attentive and organized. I went alone to Almanza's, had never been to Mexico before, followed all directions, and was back to work full time within a couple of days. The first 2-3 months is a chore, but after that you are more fully healed and tolerate more variety of foods. After 9 months, I am eating anything I wish with no problems, just with more moderation which I LOVE!!! Thank you Dr. Almanza for the opportunity to enjoy life with more variety and less pain!!!