At almost 500 pounds I knew I had to do something drastic to change my life. I decided after a lot of research and asking around to seek help from weightloss agents. From the very first phone conversation I knew my life was going to change. I decided to get the gastric sleeve and since then I have lost 204 pounds!! I workout, I eat right and I have regained my life back! Thank you Dr. Almanza for giving me a second chance at living again.