I had all of the things you mentioned, high blood pressure, high cholesterol, diabetes on insulin, gout and I was able to stop all my meds immediately after surgery. I had diabetes for 10 years. In my opinion the surgery was completely worth it. I am 9 months out and do follow directions. I can see where things could go wrong if you don't eat right or take vitamins. I have been taking all mine and my blood test are all within normal. Before surgery I also had high liver enzymes and that is reversed too. Sent from my XT1254 using the BariatricPal App