Topic: RE: new here...trouble deciding! I chose the DS. I KNEW I would out eat the sleeve in a matter of months. I had to be honest with myself on that. The sleeve is going to help you loose weight. The DS will help you keep it off. With the sleeve you might find yourself back to dieting in a few years.
Saying that, even DSers absorb most carbohydrates. We can eat with impunity fat ladened foods though, like butter, more butter, bacon, cheese etc. A good dessert for a DSer would be one that has lots of fat (cause you don't get any of it) say cheese cake or ice cream and not a cupcake. I like that.
For BMIs over 50 all the research shows that you are much better off with the DS. You lose more weight and keep it off. For me it was that simple.
HW 315/ SW 297 /CW 173 /GW 150, size 8/10, 5'8 tall (Updated December 1)