JourneyLite Video Testimonial Congratulations on your success and thank you for considering a JourneyLite video testimonial with Dr. Curry! Please complete this form and attach your before and after photos. We will review the information and get in touch with you soon! "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Name* First Last Email* Enter Email Confirm Email Program:*SurgeryRevisional surgeryGastric balloonMedication treatmentSurgery:* gastric sleeve gastric bypass gastric band SIPS Revisional Surgery:* band to gastric sleeve conversion band to gastric bypass conversion band to SIPS conversion sleeve to bypass conversion sleeve to SIPS conversion Balloon Type:* Orbera Spatz Medication:* Adipex (phentermine) Contrave Compounded semaglutide Compounded tirzepatide Wegovy Mounjaro Qsymia Saxenda Surgery, balloon, or medication start date:*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear:My highest adult weight was (lbs):*My current weight is (lbs):*Give us a brief story about your weight loss journey:*Upload before pic(s) here:* Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 50 MB, Max. files: 3. Upload after pic(s) here:* Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 50 MB, Max. files: 3. Terms and Conditions* By checking this box I am giving permission to post this information and/or images on JourneyLite.com and/or internet and social media sites. Only your first name will be visible to the public.