Just about the money?
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I had surgery in Mexico and there was a mother/daughter team in my group. The mom (around 45 years old) had had the surgery about a year and a half ago and was able to lose 85 pounds and her type II d
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They may see it as preventive. No private rooms sucks. The mother is more of a concern than the doctors, living with her must be hell.
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A friend just got back from Mexico having the gastric sleeve at CER with a very common doctor used here. They had to double up in rooms and her roommate was a SIXTEEN year old girl. The girl was 5'7" and weighed 185 pounds. Her mom was there with her, and she had had the surgery a couple years ago with mediocre success. But gastric sleeve surgery on a 16 year old with a BMI of around 30? My friend talked to her and there had been no real efforts on changing lifestyle, dieting, etc. and no health issues. Maybe I am totally out of touch, but I was astounded that a doctor would do this surgery at that age/weight/history.