Maybe in the US but in the UK this isn't the case. Also I wasn't eligible for a sleeve as I'm at the lower end of the BMI scale. I do have a friend who had the sleeve done and it's worked miracles - he looks great and is so much more healthy! I just want to get to a healthy place (inside and out!) Thanks for the good wishes [emoji4] Sent from my HTC U11 using BariatricPal mobile app