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I had a huge hiatal hernia. I was literally panting when I tried to walk because there was no room for my lungs to expand. I had an excellent surgeon who put my stomach back where it belonged and made it into a sleeve. I stayed 5 days in the hospital. This is the end of the third week and I am still having problems with foaming and tossing. I started off at 242 pounds (I'm 5'9"). Right now I weigh 204. The too rapid weight loss is from constantly throwing up.