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For years I carried a "normal weight" of 248 lbs. I was carring it well I thought. I tried a lipo and tummytuck to manage my weight. I only regained more. I have lost 83 lbs since my sleeve and currently weight 165lbs. Jerusalem hospital staff were very professional, attentive and compassionate. I was able to breakdown my payment and it was affordable. Don't wait as long as I did!