Do you struggle with reflux currently? If so bypass might be a better option. I had mild reflux so I decided to go with the sleeve. Zero reflux since I had it done a month ago.
Dumping was a consideration for me too. I personally wanted to live my life having a slice of cake on my birthday or a cookie with my kids from time to time. Some people feel like they need the strictness of bypass that will never allow them to eat certain foods again.
Malabsorption was a factor for me as well.
FWIW, obviously I don’t know your friend, but I’d guess it wasn’t the sleeve that failed her. Slider foods, grazing all day, heavy carbs, etc. will definitely stall your progress and cause regain. My head hunger is for sure still there. It’s a lot of work! (I hope that doesn’t sound like I’m judgmental of her. I get it.)
I really don't think there's a wrong answer here, just my opinion. All of the operations have their own pro and con lists! The only thing I can add here, and I'm not at all discounting your surgeons experience or technique, but I've got some experience in a surgery center that does weight loss stuff and I'm not sure I'd be a pioneer patient for a DS. There's a lot that goes into it technique wise. Just my two cents! But you seem really committed to finding success and I think that's the most important thing no matter what you choose. [emoji4]
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