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March 30, 2011 - New York, United States -  March 30, 2011 - New York, United States -  Paul Rosa, a patient of Doctor Scott J. Belsley during a swallow study at St. Luke's - Roosevelt Hospital in New York City. Paul received a laparoscopic gastric sleeve surgery. He is 44 years old, weights 240 lbs, with BMI 40 and comorbidity of diabetes. Paul said he decides to have bariatric surgery "Cause I am sick of being fat and having diabetes". Photo credit: Benedicte Desrus