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It will now be 4 months since my surgery on May 1, 2016. I was 290 pounds and now am 228 pounds. I have also lost 6 inches off my waist during this time. I feel great and would never hesitate recommending this surgery to anyone. The biggest challenge is head hunger and learning to eat a lot smaller portion than I used to. I now eat approx 20% of what I used to eat in a day. Thanks to Dr. Almanza.