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So, nobody but your surgeon can really say. You should also look at the other options and compare like VSG unless there are some other things like diabetes going on too.
For myself, it was my up and down weight loss history that helped form my decision.
I had lost weight plenty of times, exercise, hi protein, etc but I always gained back more than I lost so I knew that I needed something that would continue to help me after I lost the weight. And it has, going on 7 years now. 217 this past weigh in down from 464.
It might be that you just need that first impetus to lose your weight and then you will be able to keep it off.
I'm not sure what you know about the DS but it consists of 2 parts, A VSG for initial restriction and the switch part that provides a level of malabsorption. The VSG can stretch a little over time, and of course you can eat around it of you really want to. The switch is more of a constant, hence the life long vitamins. Still possible to overcome it or not have a good outcome but percentages are very small.
What I might suggest is to talk to a Doc that does the DS and consider doing the first step ( the VSG ) and then doing the 2nd step (the switch) separately. Some of us that were very obese faced the possibility of our surgeons doing the procedure in 2 different surgeries because they thought it might be too dangerous. In those cases the VSG is used for initial weight loss and health improvement making it possible to do the 2nd step.
There are also people for whom the VSG just didn't work that go the DS route even though that wasn't their original intent.
I don't think you are too small for the DS ( or maybe the SADI version ) but it is a big commitment and you should game out the alternatives, pros and cons.
Good luck, let us know what you are thinking after all this.
Pete
Visbiome 900
If you have a specific question for me, PM me or I will not see it, as I don't check responses on the forums and don't have anything forwarded to my email.
I TRIED A BATCH AFTER MY SLEEVE AND IT GAVE ME RASHES IN THE AREA I APPLIED THEM TOO..
No Bueno!

You're right. I should have said biliopancreatic diversion without duodenal switch to revise my mini-incision RNY that was done 2/28/2012. I don't know if this is done often. Dr. Elariny is highly regarded and I feel comfortable with his recommendation. I had my pre-surgery endoscopy today and talked at length to the doctor. I had him explain to me in greater detail why I would not be getting a DS. I think he said I didn't need to have the duodenal switch because of the way my gastric tract is arranged now (after the RNY). Although I'm still a bit foggy about it and need to read more so I fully understand, the upshot is that he is going to redo my pouch to "tighten it up" (my term, forgive my lack of the correct medical jargon). I also have a Spigelian hernia which predates my RNY. He will probably repair that after he does my revision in a subsequent surgery. Today during the endoscopy he found I had Schatzki ring at the end of my esophagus near my stomach/pouch. Sorry I couldn't be more helpful. When I know more I'll write more! Best wishes. P.S. My son is in Austin TX.
The patches work for me. I am a DSer. My doctor even recommends them to other weight loss patients who are anemic.
Kim
I don't think anyone can tell you what surgery is right for you. I weighed 204 and had the DS. It was the best thing I had ever done for myself. My doctor did tell me that if I had not had a cholesterol of 350, he would't have done it. I hope it helps.
Kim
I agree with the others. I don't think DS is the appropriate surgery for you. I would have considered it if my insurance covered it (it did not - it only covered RNY and VSG), but then, I started off at almost 400 lbs...
You need to do a lot more research. Surgery is for morbidly obese. Insurance pays at 40 BMi. You are 30 BMI. You are obese by not morbidly obese. If you had surgery you would have to follow a diet and exercise plan to lose the weight. Most people lose about 100 pounds. Losing 100 pounds would not be healthy for you and no honest surgeon would perform DS on you. You need to find a good nutritionist and personal trainer and lose about 45 pounds.
It will be hard work and take a lifetime of dedication to healthy eating and exercise to keep the weight off, but you are no where close to a person who needs weight loss surgery.

Real life begins where your comfort zone ends