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Marshall Curtis was diagnosed in 2009 with end stage liver failure and cirrhosis secondary to Alpha1 Antitrypsin deficiency. Obesity and encephalopathy were additional challenges confronting the Mayo team. He was recommended for a new study program combining a transplant and bariatric surgery to improve his chances for a transplant and long term survival. Listen to Marshall and his wife, Julie, tell how close he got to death and how this experience has changed their lives. This is an absolutely remarkable story!