i did have a surgeon deny me based on my diagnosis of bi-polar. the shrink I had my psych eval with said I had missed 2 dr appointments the previous yr. He said that showed me not being consistent. He told me to come back in a year. I sought another surgeon. I was approved and had surgery in record time. I do have to say I am quite the miserable puppy these days. Everyone says its it natural but I am feeling pretty depressed these days, and I do not have my food buddy to console me.

 Confide you early post-op problems to both your shrink and to your primary doctor.  I've ready that many people (including men) get spikes of estrogen and may have to sit down with someone to discuss what meds to take for that problem.  Many people who don't have any mental problems are put on anti-depressants for a few months following WLS.  It's possible that any hormonal changes you are facing may be affecting your bi-polar condition.  Discuss this twith your shrink.  Since you recently had RNY, you should keep your surgeon's office up to date to see if any additional meds may affect your pouch.

My bet would be on the lithium being the cause of your tummy troubles.  Lithium does come in liquid. 

There are two formulations of lithium-- lithium citrate and lithium carbonate.  Typically, lithium carbonate is easier on your stomach but it really is an individual thing.  Depending on which one you are on currently, you might want to try the other if your doctor won't give you the liquid.

Find out his definition of stable.  It might just be staying on your meds and out of the hospital.  If that's what he's looking for, that's reasonable.  If he is looking for 24 months with no mood issues then that's going to be harder.  Actually, that may be impossible.  Do you have a good pdoc?  Could you get your pdoc to write a convincing letter documenting your stability?  That's what I did.  So far, so good.  I'm waiting for them to turn everything in to insurance later this week.

 I don't know mushc about most types of WLS, but I do have a friend who had one of the band surgeries and he occasionally goes in for "fills."  That may be a less intrusive form of WLS.  Maybe you should discuss that with your primary and your shrink.  It would probably involve dealing with a different surgeon.   I really don't know.  I would like to give you some hope regarding your chances for WLS.