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I had RNY in 2001. They did Hiatal Hernia repair and Gall Bladder removal at the same time. In all, I lost 85 pounds. I kept my weight off about 3 yrs, but experienced regain the past 5 yrs. My surgeon today recommends the sleeve as revision to my bypass; surgery isn't scheduled yet, however the doctor is working on the authorization from the insurance. I have struggled with obesity my entire life--yoyo dieting to no avail. I teach school, so it is important that I get my health back on a healthier track. BTW, I have hypertension--my problem is I am allergic to ALL of the meds to treat it. This is all the reason to drop the weight and take care of myself!