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4 years ago today I made a decision that has changed my life forever! I came to see Dr Almanza for the gastric Sleeve. When I decided I needed a tool to help me lose weight I was 470 lbs, and when I got on the plane I was 450 lbs. Today I am 170 lbs. Losing a total of 300 lbs! So All I can say is BEST DECISION EVER. All I can do is encourage you to have the strength to book your appointment. Its not always easy but it is worth it!