I am a 56 year ild women. With was is called a low bmi 31. Iam 5 ft 3 179 lds.....I have high cholesterol..and severe osteoarthritis ...as well as reflux...i have thyroid disease as well...at age 22 i lost 75 lds ending at 125 lds. From that time till 4 years ago i stayed no higher then 150,,,,,but in the past 3 years ive climbed nearly 30 lds,,,no matter what i do I gain..im not going to wait untill i see 200 lds again..,insurance or no insurance I m ready to have weight loss surgery..now the hard part deciding between plication and sleeve and finding a us dr for under 10,000 who is great,,,or do I go toMEXICO. Please advise!