Sorry I took so long to get back to you!
There is no easy choice for WLS, period, depite those who think it is the "easy way out" from obesity.
I chose the DS because I knew that I would likely have little to no success keeping the weight off without the malabsorption. That being said, medications can be adjusted. The vitamin dosages for DSer's are MASSIVE, just to get the level a normie would get from a regular dose.
I went into this with my eyes open, knowing that it could make things worse. I chose to put my energy into believing it would make things better. Granted, it takes a bit more than positivity to treat lupus, but as I said, meds can be adjusted, and fortunately, for me,the DS opened up a whole new world of treatment options.
The DS made it possible to have a choice of meds that I did not have before. Prednisone was it for me pre-op. So, some would think my condition worsened because of the surgery, because I'm taking more meds. No, the most destructive one, Prednisone is now reserved only for flares. I can now take other meds that will keep flares at bay, keep me out of pain and not have me chewing up prednisone like candy.
I'm taking that as a vast improvement in my quality of life. I still have to pace myself, stay out of the sun and remember to put on my sunblock when I'm going to be outside.
I'm eating more nutritious foods and paying more attention to my nutrition as a whole.
It's a heck of a lot easier to haul around 175 pounds than it is to haul around 405, and that may have had a lot to do with my feeling better.
I still get flares, at 4 years out from my surgery, but now, instead of being in bed for three weeks, I might be in bed for a week. I still have aches and pains, but the medicinesnow work to relieve them, not completely make them go away, but make them more bearable.