Hi my name is Jeanette, and I'm just starting my journey. One reason I need a gastric sleeve is because I need a Hip replacement they wont do it tell I get my bmi down to 40, mine right now is 55. I thought I could lose the weight on my own but I can't. I have tried everything I lost some weight but then put half of it back on. I already meet with the surgeon and she agreed with the sleeve, I'll start my nutrition classes in July and hopefully have surgery by October.