he's one of the best DS surgeons in the country.

Actually it was 18 years ago - 2003. I had one of the best DS surgeons in the country do my procedure and had a great support system early out (and it does continue).

I have kept all my weight off. My only regain (about 3-4 years ago) was about 15 pound and I took it off by going back to basics - high protein, low carb and lots of water. I try to exercise but you know how that goes.

I've had two significant issues - I don't absorb oral iron so I have to keep a very close eye on my iron numbers (particularly ferritin). I have had infusions on and off over the last 15 years or so and it will always be something that I will deal with. It started pre-menopausal but continued after menopause. I was in my mid-40's when I had my DS. My anemia was really bad so through a series of procedures, I went into menopause, which has definitely helped (no bleeding - sorry TMI). My other issue is osteoporosis. I have significant bone loss even though I take massive amounts of calcium, try to do weight bearing exercise, etc. I'm getting ready to start Prolia treatments so we'll see if that helps.

For me personally the DS was 150% worth it. I always tell people to do their research. I never recommend a particular procedure but with the DS you MUST be willing to make a lifetime commitment to vitamins, labs, eating healthy for the DS, and just taking care of yourself. You have to find a procedure that you can live with FOR THE REST OF YOUR LIFE.

You had your DS surgery over 17 years ago? Have you kept most of the weight off? Any regain? Overall, would you say the surgery was worth it?

Carb absorbtion actually starts in the mouth. A nasty little enzyme called maltase. You can prove it even. Eat a wheat thin and chew, chew, chew. Then chew some more. That wheat thin will become sweet! That's that damn maltase.

You've gotten many great answers here from the best... I just want to add to the mental health issues. I had been on SR Wellbutrin for years. After DS, I rapidly had withdrawals due to malabsorption abs had to switch to IR. Be cautious and research how each med is effected by DS, especially any long acting.