I've been planning to have the sleeve, and have done all the pre-op requirements. If all goes well, I want to do WLS over the summer. I've been planning on the sleeve, as it's what my surgeon recommended for me, but now I'm wondering if I should go for the bypass.
I'm in my late 40s (done having kids, so fertility/pregnancy is not a factor in my decision), have a BMI of just over 35, with PCOS, diabetes, hypertension, and recently diagnosed with small fiber neuropathy (we're not sure of the cause, though I've read a study showing WLS improves symptoms). When I asked my surgeon why she recommended the sleeve, she said it's because I have relatively less weight to lose, and, although it will require work and being vigilant with diet, she thinks it will be successful for me, and is less invasive and risky, though she also said she would be willing to do the bypass if it's what I want.
My endocrinologist said that the bypass has additional mechanisms by which it can resolve metabolic issues, but she'd suggest asking my surgeon about her rate of complications with bypass. She also said she'd be less inclined to push bypass for me, though, because my diabetes is well-controlled on one medication (A1c is usually between 5.7 to 6.0). My cardiologist strongly advised me to go with the sleeve, because she has a number of patients who were a "hot mess," medically, after bypass.
I want to resolve my cardio-metabolic issues, but the risks of bypass also really concern me. I've never been anemic, but I've been deficient in other vitamins and have experienced hair loss and other issues as a result, so I'm concerned I may be at greater risk for deficiencies and other unwanted consequences with the bypass.
I'm not sure how to decide this...help?