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Hi Steph, Its been three weeks and I have lost 22lbs. I didn't spend much time with Dr. Almanza but he was very nice when I meet him. You spend most of the time at the recovery house. The day shift does not speak english very well. The night guy is Severo and is great!!! And speaks good english. He also had the sleeve done. Lepita is the nurse at the clinic and is very sweet but no english. No worries they take good care of you. I was a total baby and they still were nice! Do you have a PT coordinator? Because if you feel like they dont understand you just call your coordinator and she will help you. My coordinator is Melissa 866-310-4625. She has also had work done by the team there. Best wishes and keep me posted.