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I was 325 lbs before my surgery and now I'm at 175, i never thought i would ever be this weight,EVER!thanks to my surgery in note very outgoing and energetic,i do things with my kids i didn't before, i am so grateful for Dr.Almanza affordable procedures because otherwise i would have never been able to do this surgery in the UNITED STATES, everyone from to his staff were extremely nice and helpful thank you thank you thank you and of course i am recommending this place to everyone.