Post Date: 4/25/12 6:38 pm The only surgeon we have here that does all the surgeries including DS is Myur Srikanth in Seattle, but he is well regarded.
Like the other poster said, you have be committed to monitoring and then taking supplements for life, but that is not only with the DS, but the RNY as well. You may take different ones, but you will always take something for life.
The thing is, with RNY you will quit malabsorbing calories, but still malabsorb nutrients, making the supplements necessary, but making it harder to keep the weight off after a few years. With DS, you will always malabsorb nutrients, as well as calories because of where they are bypassed, particularly with fats. That is attractive to me, as my cholesterol is always a problem, no matter how careful I am.
There are studies on the bowel habits, that state they are about the same for both RNY and DS, so I wouldn't let that be a factor. The NSAIDS are a huge factor for me though, as I too get migraines, and have more pains every year. I don't want to imagine old age without the ability to take something like aspirin.
I've talked to several surgeons, and they only recommend the procedures they do, so it's best to decide before getting cut, or going to a surgeon that actually does all of them, and that leaves us with only Dr Srikanth.
I too am going to have to self pay, and I can't afford do-overs, so I'm saving for a DS. I feel certain it's my best chance. I got links to real medical studies at DSFacts.com, and recommend reading there.
Some times dingle berries are the lowest hanging fruit.