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I am almost seven years out. I was 320 pounds and now I am 130 pounds and I run marathons now, which I could not do before. It has changed my life because now I am eating healthier and working out and working out is my life now. Dr. Champion really cares about his patients and he does not want you to fall through the cracks and he tries to tell you everything upfront and the support groups really help also. I would recommend the surgery. It is life changing but also you have to realize you can gain the weight back. So, you have to keep on. You have 12 to 18 months to figure out what is your protein intake and how much exercise you need to do, so you really have the 12 to 18 months to figure this out and if you do not, you can gain it back and that is really important in keeping up with your vitamins, your water, and I did not tell everyone that I knew that I was going to have the surgery because I had failed at all the other diets in the past and I feel successful with this and very pleased.