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After a lot of research and serious contemplation, I decided to head to Mexico to get a gastric sleeve... WOW~~ I wish I would have done it sooner!! It has been almost 9 months and my life has completely changed. I have lost 100 pounds and am feeling like I am 30 years old again. My experience with Dr Almanza and his staff was fabulous... no complaints here... We were all treated with top notch care and experience. I have had no negative implications from the surgery but I sure have had a lot of positive ones. If you are overweight and have come to the point where you have to have a long term solution.. well,all I can say is... this is the solution that worked for me and I know several people that have had the same positive results. No more diets, no more feeling guilty, no more not being able to walk without being out of breath... I can even cross my legs now!!! And I could not have picked a better place to go. Dr Almanza and his staff are very compassionate and know their stuff! If you are serious about losing weight, dont wait any longer... get started on your weight loss journey soon. Call Dr. Almanza!! And by the way... I am still losing!!