I had the sleeve in Feb 2014, I lost from 267 to 198. I had horrible reflux and I gained to 215. On Nov 14, 2016 I had a conversion to the RNY. in the 9 weeks I've lost down to 190 with is about 25 pounds. It has gotten rid of the reflux for the most part and I feel better in that regard. Its more difficult to eat than it was with the sleeve but then it's a more difficult surgery and I'm 3 years older than I was with the sleeve. I'm having good results but I find it more difficult to come up with foods I can eat. I know further out it will get easier but its difficult going through the process.