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I know it has only been since April 8th of this year but I am so excited I went through with my surgery! I had the gastric sleeve with Dr. Almanza and be and his crew are amazing! I am so glad I ignored the negative remarks and used him. I am down 63 pounds and still going! Thank you Dr. Almanza and staff! I am recommending people daily! Too bad I don't make make money off referrals! :)