I greatly appreciate the opportunity to see Dr. Almonza for the 2nd time. The first time lasted 8 years before I got back out of control with my weight gain. The Dr. Recommended a mini bypass for the second go round. Glad I did so again I lost 40lbs. I had to make a few adjustments in my lifestyle of eating and passing food, however; I accomplished my goals. I'm happy again and I plan on making this time be the last.