After much thought I have finally decided to get the gastric sleeve. For so long I thought that I could loose the weight on my own, but I can't. I've met with my surgeon to get the process started. His team has schedule ALL my appointments, and the last one is mid January. By that time the surgeon want to be loose between 20-30 pounds (closer to 30) to bring my BMI down, and he will do the surgery. I'm so excited, and stressed at the same time. It's going to be a challenge to loose this weight.