Yeah, the recommendations vary from doc to doc. Early on, most surgeons simply copied their RNY protocols for their sleeve patients - diet, supplements, drug interactions, etc. Those who had been doing sleeves for a long time - primarily the DS crowd - had lots of experience indicating that NSAID use was fairly benign (indeed, that was one of the selling points for the DS or VSG over the RNY.) As more got familiar with the sleeve, they often loosened up on their restrictions. At the same time, the medical world in general has become more cautious about NSAID use in general - for everyone - so we have two conflicting trends. The main point is that there is a physiological difference between the two procedures that influence their relative tolerances for these meds, and that is something that should be considered in these decisions. Ideally, none of us will need to take these meds, but the world isn't ideal, and that's where these compromises come into play.