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I was probably one of the most skeptical and difficult candidate on making my decision to have the gastric sleeve procedure. After speaking with staff and very knowledgeable people about the procedure I decided to bump my surgery date up to have it done sooner. This is and was one of the hardest and best choice I've made for my health and future. Dr Almanza dud an amazing job, and only two weeks out,, I've already lost over 20lbs .