I was a young spry 22 years old when I had my DS. 15 years later I regret NOTHING. Yes there is a rapid weightloss period. The DS provides the ability to have the most "normal" way of life. My inlaws had no clue I had surgery till I told them about 2 years ago. And only reason I spoke up was because the hubbys cousin was having surgery and sadly they only knew misinormation about WLS in general.

While bathroom habits change at first, years out usually its 1-2 times a day. The number of being unable to work or afraid to go out is so small. And usually this can be corrected by diet (the usual culprit for bathroom trouble) or surgically if a common channel is too short.

And supplementation is not an option. Everyone is different in their needs and a close eye on labs is a must.

But each persons experience is different.

As for your friend, he is way early out. Fat stores estrogen so when losing early in the game for men they tend to lose drive as estrogen dump is real and basically "dillutes" testosterone levels. It will blance backout.

DS has faster weight loss and also more side effects. It involves no longer being able to absorb fat or most vitamins. If vitamins are not properly supplemented, it can result in severe illness or death. You no longer have a choice to ignore vitamin supplements. You need a lot of them and need them daily.

There is also the most bathroom changes with DS. Gas and watery diarrhea can become a chronic and severe condition. Some people are no longer able to work and avoid leaving their homes.

With any weight loss surgery there is the possibility that a person will have no adverse reactions or have many.

What I would advise you and your girl friend to do is to talk to people who have actually had the procedure. Hopefully you can find people who will tell you both their positive and negative experiences.

Food and sex? Nope not normal. Well, except while you are recovering from the surgery itself. You said HIS so I am assuming male? Maybe he needs to have his testosterone checked? Most people seem to rediscover their sex life after surgery. Many recommend using 2 forms of birth control to avoid having kids too soon post-op.

Most do have some rapid weight loss. That's what we wanted! The DS offers the best track record of any WLS in taking off the weight and keeping it off. There is nothing better. You still have to work at it. It's not effortless. That rapid weightloss window does eventually close. To be successful long term, I have to do low carb forever.

Newbie here too!

I was able to get approved with BMI 35 and 1 comorbid (hypertension ). There is a lifetime dollar limit on Bariatrics for my policy, but after sleeve I still had about 2/3 of money limit still remaining. Plenty left for DS revision. HTH