wow Phoenixrising, thank you for that answer. you have helped me make my own personal decision. For the lady in N.C. go the 200 miles. you will not need follow up care with the sleeve. find a nutritionist close to home. From all I have read, With the sleeve a good nutritionist is a God send. I am going to find one that has knowledge in the barriatrict field. Once you get the hang of eating right for your body, it should be simple.