Dr. Mirande did my gastric by-pass surgery 13 years ago. I have kept my weight down and I'm super healthy. My doctor here in Longview, Washington said my results are that of a teenager. I would love to connect with him and show him pictures. I started out at almost 250 lbs. 5'4 , I'm 5'4 and 140. My triglycerides were 1,500 and cholesterol 500. I take no med's for that.