I had the gastric sleeve many years ago and developed severe acid reflux to the point that I got diagnosed with Barrett’s Esophagus. PCP and GI doctor told me to just take PPIS and endoscopys for the rest of my life to check for cancer due to Barrett’s. Thanks to videos like yours I’ve realized that a revision to gastric bypass is a much better option than omeprazole all my life with endoscopys. Thank you for this very informative video.
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.
I was going to do a sleeve gastrectomy but now I'm slowly leaning towards gastric bypass especially since I have GERD and he explained it pretty good now I am reconsidering my choice of surgery soon
I wanted the sleeve also but chose the bypass. I’m scheduled for my surgery in 2 weeks. K have severe GERD, high bp, high cholesterol so it was best for me
Thank you Thank you Thank you Thank you so very much for this video. It's extremely informative and tells me exactly what I need to know. The way you present both types of surgeries pros and cons is so effective. I am in the process of deciding which type of surgery to have. I have severe GERD and now I know that the bypass is the best one for me. If I wasn't in CA I would see you. What a great video, Dr. Del Pino. The best one I've seen so far.
I thought that I wanted to do the Sleeve Gastric, but this video made me change my mind. I have a lot of health issues; one concerning my gut (IBS with GERD). Also, pre diabetes (use to be type 2 but I changed it by consuming more of a healthy diet). This includes suffering with inflammation of fibromyalgia, (or arthritis) insomnia and depression as well as anxiety. In addition, I stopped eating red meat several years ago and gluten a few months ago due to my gut issues. I don't consume dairy ( it makes me lactose intolerance and constipated) and pork either. 😑
@@naturalbabeebailey6075 It has chemical similarities as Meth. I personally wouldnt recommend it. It had a bad reaction for me however i did lose a lot of weight in a short period of time. Once i got off it i bounced back up a lot. gained more than i lost.
Great video, very well explained. Thank you. Now is clear to me the difference and negative and positive for each procedure. Is it possible to make a video for Gastric Belt and do you recommend such operation over others operation like Gastric Bypass ? Thank you in a million again
I was set on the sleeve and now I’m hearing of all these people who haven’t been able to hold any food down even ages after getting the surgery. I’m so scared now that that will happen to me when before my only worry for the sleeve was the heart burn side of things. Absolutely mind boggled now but I know I want something
My friend had the gastric bypass. She has tons of energy and has lost wt. Went from a size 21 to a size 14 after 6 mths. WHAT HAPPENS TO ALL THE INTESTINES THAT ARE BYPASSED. DO THEY JUST BE THERE OR DO THEY STILL HAVE A FUNCTION????
Very informative video so thank you for that , with the bypass operation and if you take any pills are they absorbed normally by your body so you benefit from the bills or not ? Because you mentioned in your video that food goes straight down the lower intestine. Many thanks for your time
I've been looking for a video that references autoimmune disease! I have Lupus and was not sure which one would be best for me. I don't have any other health conditions like DMII or HTN. I'm curious if my doctor will feel the same. Thank you!
I'm very interested in the mini bypass for the past year I've made my life style changes no more sugars and vegan I've continued to work out and lost as much weight as I can on my own however I'm still obese... I really only want to do the mini bypass if a doctor agrees that I can qualify for it but I'm having trouble finding someone doing it Is there a reason it's not as popular as other procedures
I have a better understanding which surgery I want. Thank you. However, dumping syndrome is my largest concern. Can you please explain how common or not is dumping syndrome with gastric sleeve?
Appreciate the balanced explanation of both options and reaffirming if you have diabetes etc then the Gastric bypass is the better option. Very insightful and easy to follow you thank you.
I have severe GERD and medication doesnt help, I also had fundoplication and it didn't help made things worse. I also have mild gastroparesis combined with this refractory GERD. Surgeon has recommended Gastric bypass. Do you think it could help with both my Reflux and Gastric emptying?
Thank you so very much for your valuable information. I didn't know what the difference was as far as how each surgery would possibly effect me. I am recommended for bypass it was knowing which one would be beneficial or work for me. Can you provide more information regarding the vitamins that would be taken on a daily bases.
Dr. Del Pino, this video is 5 years old now. Do you still have the same opinions today on these two surgeries as you had 5 years ago? I'm a type 1 diabetic, with acid reflux and need to lose weight. Thank you.
Very informative. For folks with RA, the sleeve is better, but I didnt catch the reasoning behind that. Anyone know why the sleeve is better over the bypass for folks with RA?
Niko Jameson Paceley When a patient suffers from RA, you’re on a class of medications known as NSAIDS. These are very good medications which treat selling and inflammation. But a side effect is they may irritate gastric lining. In a bypass these meds are contra-indicated due to risk of developing a marginal ulcer.
Dr you nailed it. Excellent information sir I have sleeve done but didn’t work out I have High blood pressure , High cholesterol and Dietetic. I am planning to have Bypass now. You think is a good idea. Thanks
Thank you for explaining this so well. I'm doing precertification now and my Dr wants me to do bypass but I am concerned about not being able to take NSAIDS afterwards.
Is the bypass better with a vegan diet. I had the sleeve 2014 and considering bypass but because I’m uneducated on the bypass I’m a little scared. I have severe acid reflux. After watching this I’m really considering the bypass.
I have GERD and have had it for over 5 year now. I know a bypass is better for me however my BMI is also 62, would that mean a doctor wouldn’t operate on me?
Ok so you said that if you have diabetes and high blood pressure the bypass is for you, then you said the sleeve is better for people 400+ lbs. What if your both, then which one should you do?
There is another procedure called the Duodenal Switch that would be the best option. In patients who are heavy the sleeve has less complication than the gastric bypass. So you must balance between diabetes resolution and higher risk of complications with the RY gastric bypass
I had my vsg don 1 year ago here in the valley. I only got to 370lbs from 469lbs. I regained today im at 389lbs today i really need help to reprogram my pouch! I was told to do liquid diet and it seems harder than my two weeks post op!
Why is keeping the entire stomach in the bypass..... Not send signals to your brain to tell you to eat.... Yet when you take the stomach out it stops sending thoes signals.
Im soon getting gastric sleeve or gastric bypass what ever my dr decides which is best for me I did my research about gastric sleeve and gastric bypass for many years now ❤
Lessened acid reflux reduction with RNY ??? Not the case with me... as i had the RNY surgery approx 19 years ago and I still have extremely high blood pressure (treated)and acid reflux misery vomiting that last long as 2 days. So what is my problem? I’m I a likely candidate for revision?
First they must diagnose that acid reflux is present with Bravo test. If acid reflux is confirmed most common cause is a large gastric pouch or a complication called gastro-gastric fistula. Good Luck!
I had gastric bypass just over 5 years ago...have had no acid reflux or dumping.. I lost lots of weight but when I had partial foot amputation 17 months ago I gained a out 50 pounds back for lack of moving around and eating quick grab foods cuz had to stay off foot.. Losing pounds again now but lots of it is fluid retention from CHF..Almost 70 but still staying strong. Can't giveup..oh and after RNY..my insulin injections were reduced less than half and I'm keeping my A1C under 7.0...was 5.9.... 3 months ago...
If you get both Mr dr,,,my mom had the slive,,than she has very bad vitamin deficenciy but the worst ACID REFLUX,,,, eshopagitis right now,,,and hiatal hernia,,,the first dr did not considered to do the bypass...........why?
Great question as this isn’t apparent. These surgeries are different than eating less because it changes your gut microbiome also and changes the amount of hormones produced. Your new weight set point will be lowered and your body will lose weight to reach this new Heather weight automatically ( assuming proper diet is followed)
what I want to know is ?? WHY is the success rate soo low ??? 55 % roughly ?? that's only half.. what's the problem ??? what about a proper diet and exercise ??
@@STILLNIGHTPEARL probably true.. IF they TRULY put in the work... MOST people are going to be tooo lazy and or... not get the counseling that they NEED to correct their problems that got them there in the first place ?? thanks for your response...
Guy Loehr yeah, these surgeries are tools to help you eat a lot better, and a lot less, that’s a huge help, everything else is really on you, I have my ekg today, next month I should be having my sleeve done, I’m around 304 lbs, my max was 325, hopefully 185-205 by the end of it, my height is around 6’1, I think that’s a good weight range for my height, I’ll be cool at 205, and just build muscle along the way down there. Already lost about 20 lbs on my own, but I have hit a nasty plateau, but I’m still trying, just trying to get a head start. My friend is about two years out from his sleeve, went from 430-260, has kept it off, so it definitely works, but it really is a lifestyle change, avoid liquid calories, things that go down quick, protein is key, keeps you full without the massive amount of calories, carbs and sugar are lethal.
If you had a sleeve 8 years ago can you have a bypass surgery I had the sleeve 8 year ago new doctor ran tests on me found out my sleeve was done wrong. I never had heartburn are reflux. Have a ? I never took vitamins after my surgery and I became vegetarian because of the surgery. However my blood works show like I'm healthy even if I haven't took not one vitamin and weight gain
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.
This was the best explanation I’ve seen thus far 👏🏾👏🏾
Thank you!
I had the gastric sleeve many years ago and developed severe acid reflux to the point that I got diagnosed with Barrett’s Esophagus. PCP and GI doctor told me to just take PPIS and endoscopys for the rest of my life to check for cancer due to Barrett’s. Thanks to videos like yours I’ve realized that a revision to gastric bypass is a much better option than omeprazole all my life with endoscopys. Thank you for this very informative video.
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.
I got my gastric bypass on January 17/23 and I’m doing great. Diet is pretty important to fallow ❤
Update please? ❤
Translatiob 0:48
Thank you for this video! It explains the difference very clearly!
I was going to do a sleeve gastrectomy but now I'm slowly leaning towards gastric bypass especially since I have GERD and he explained it pretty good now I am reconsidering my choice of surgery soon
Checkout intragastric Balooon too..
I wanted the sleeve also but chose the bypass. I’m scheduled for my surgery in 2 weeks. K have severe GERD, high bp, high cholesterol so it was best for me
How did it go
@@ELchambelan I never had it
Thank you Dr! This helps me tons!
This video was so Informative and helpful!! Thank you, Doc!
You rock, doctor. Thank you!
Thank you Thank you Thank you Thank you so very much for this video. It's extremely informative and tells me exactly what I need to know. The way you present both types of surgeries pros and cons is so effective. I am in the process of deciding which type of surgery to have. I have severe GERD and now I know that the bypass is the best one for me. If I wasn't in CA I would see you. What a great video, Dr. Del Pino. The best one I've seen so far.
I'm in Cali 2 we're are you going to get the surgery???
@@Prxsumo Kaiser. I know several people who have had it done there and it worked out really good for them
I just started my journey! Thank you for all the information!
how is that going now????? I am considering the surgery myself...
@@newgeolem which one are you thinking about getting
@@Prxsumo I have orientation next month…. I am thinking bypass surgery….
@@newgeolem did u get the surgery done?
@@milcahesparza270 not yet, probably by the end of the year :). How are you doing????
This video is all I needed! Thank you ❤
The decision I’ve ever made 10 months po 149 pounds down Starting weight 270
That’s awesome Which surgery you had done
What did you do
My niece is considering this operation, this was very informative. Thanks for posting it.
Fantastic video. Great explanation Dr.
Great video, very well explained. Thank you.
I thought that I wanted to do the Sleeve Gastric, but this video made me change my mind. I have a lot of health issues; one concerning my gut (IBS with GERD). Also, pre diabetes (use to be type 2 but I changed it by consuming more of a healthy diet). This includes suffering with inflammation of fibromyalgia, (or arthritis) insomnia and depression as well as anxiety. In addition, I stopped eating red meat several years ago and gluten a few months ago due to my gut issues. I don't consume dairy ( it makes me lactose intolerance and constipated) and pork either. 😑
I also suffer from all the the issues as you and was leaning toward the sleeve but now I believe the bypass is going to be the better choice.
Have you had your surgery btw?
Thank you for breaking it down. Am going for my surgery soon and this help with explanation. New sub here 🎉👍🏾
Search for intragastric Balloon placement videos for more options.
Where is the hormone pill for the brain. Just like a high blood pressure pill or all the other medications there is
The best advice 🙏
God bless you Doc, such a clear explanation ❤
Thank you so much.. You help me out alot just by watching this video. Very helpful video
We need a pill that tells that part of the stomach we are full.
Right, to check with surgery.
duromine is a pill that makes you feel full. Side effects are not great. Ive taken it and struggle to sleep at night.
@@ivanw92 wow
@@naturalbabeebailey6075 It has chemical similarities as Meth. I personally wouldnt recommend it. It had a bad reaction for me however i did lose a lot of weight in a short period of time. Once i got off it i bounced back up a lot. gained more than i lost.
@@ivanw92 good to know. Thanks for sharing
Great video, very well explained. Thank you. Now is clear to me the difference and negative and positive for each procedure.
Is it possible to make a video for Gastric Belt and do you recommend such operation over others operation like Gastric Bypass ?
Thank you in a million again
I was set on the sleeve and now I’m hearing of all these people who haven’t been able to hold any food down even ages after getting the surgery. I’m so scared now that that will happen to me when before my only worry for the sleeve was the heart burn side of things. Absolutely mind boggled now but I know I want something
Look into gastric balloon, it may help u.
My friend had the gastric bypass. She has tons of energy and has lost wt. Went from a size 21 to a size 14 after 6 mths. WHAT HAPPENS TO ALL THE INTESTINES THAT ARE BYPASSED. DO THEY JUST BE THERE OR DO THEY STILL HAVE A FUNCTION????
Best explanation ever
Excellent explanation. Thank you
So clearly explained and its very helpful in decision for which type of surgery one should go for
He explained really well.
Nice I did my research about WLS, gastric sleeve and gastric bypass for many years now 🥰
Thank you Sir! I'm working as a nurse in surgery ward.
Very informative video so thank you for that , with the bypass operation and if you take any pills are they absorbed normally by your body so you benefit from the bills or not ? Because you mentioned in your video that food goes straight down the lower intestine. Many thanks for your time
I've been looking for a video that references autoimmune disease! I have Lupus and was not sure which one would be best for me. I don't have any other health conditions like DMII or HTN. I'm curious if my doctor will feel the same. Thank you!
I'm very interested in the mini bypass for the past year I've made my life style changes no more sugars and vegan I've continued to work out and lost as much weight as I can on my own however I'm still obese... I really only want to do the mini bypass if a doctor agrees that I can qualify for it but I'm having trouble finding someone doing it
Is there a reason it's not as popular as other procedures
Well explained. Is this recommended for anyone with diabetics or only with obese diabetics.
I have a better understanding which surgery I want. Thank you.
However, dumping syndrome is my largest concern. Can you please explain how common or not is dumping syndrome with gastric sleeve?
Don’t be afraid just stay away from the things they tell you and listen to your body when it is satisfied.
Appreciate the balanced explanation of both options and reaffirming if you have diabetes etc then the Gastric bypass is the better option. Very insightful and easy to follow you thank you.
I have severe GERD and medication doesnt help, I also had fundoplication and it didn't help made things worse. I also have mild gastroparesis combined with this refractory GERD. Surgeon has recommended Gastric bypass. Do you think it could help with both my Reflux and Gastric emptying?
I did my surgery four weeks back.
What are the results now. Have you lost weight and how much?
Which one did you do, bypass or the other one?
Thank you so very much for your valuable information. I didn't know what the difference was as far as how each surgery would possibly effect me. I am recommended for bypass it was knowing which one would be beneficial or work for me. Can you provide more information regarding the vitamins that would be taken on a daily bases.
Can one of these surgeries fix a hiatal hernia? I had two failed Nissen fundoplication and takedowns. The hiatal hernia has come back.
Am so glad I saw this am getting ready to do surgery in 6 months
me too!, started my pre op not too long ago!
Dr. Del Pino, this video is 5 years old now. Do you still have the same opinions today on these two surgeries as you had 5 years ago? I'm a type 1 diabetic, with acid reflux and need to lose weight. Thank you.
Very informative. For folks with RA, the sleeve is better, but I didnt catch the reasoning behind that. Anyone know why the sleeve is better over the bypass for folks with RA?
Niko Jameson Paceley When a patient suffers from RA, you’re on a class of medications known as NSAIDS. These are very good medications which treat selling and inflammation. But a side effect is they may irritate gastric lining. In a bypass these meds are contra-indicated due to risk of developing a marginal ulcer.
Patients with RA, Lupus use NSAIDS and steroids which can cause ulcers, bleeding and perforations with the gastric bypass.
With witch one we loose more weight and keep it off longer? Thanks
I will choose and will do the gastric sleeve
How much intestines is bypassed ? My doctor said he did mine stronger than the normal amount?
Dr you nailed it. Excellent information sir
I have sleeve done but didn’t work out
I have High blood pressure ,
High cholesterol and Dietetic.
I am planning to have Bypass now.
You think is a good idea.
Thanks
Why didn’t the sleeve work?
Thank you for explaining this so well. I'm doing precertification now and my Dr wants me to do bypass but I am concerned about not being able to take NSAIDS afterwards.
You can take them occasionally but not all the time.
Sir i have chronic gastritis i take too much medicine but no any improvment there have any option for surgry reply plz
Is the bypass better with a vegan diet. I had the sleeve 2014 and considering bypass but because I’m uneducated on the bypass I’m a little scared. I have severe acid reflux. After watching this I’m really considering the bypass.
I have GERD and have had it for over 5 year now. I know a bypass is better for me however my BMI is also 62, would that mean a doctor wouldn’t operate on me?
Ok so you said that if you have diabetes and high blood pressure the bypass is for you, then you said the sleeve is better for people 400+ lbs. What if your both, then which one should you do?
There is another procedure called the Duodenal Switch that would be the best option.
In patients who are heavy the sleeve has less complication than the gastric bypass. So you must balance between diabetes resolution and higher risk of complications with the RY gastric bypass
@@DelPinoWeightLossCenter If im Anemic can I still do the operation ?
Does someone who had a Cholecystectomy done before get this surgery?
Did you just say fajitas? Dr. I don’t think that it’s The right time to say fajitas 😂
Facts lol 😂
Very very interesting I have shared
I had my vsg don 1 year ago here in the valley. I only got to 370lbs from 469lbs. I regained today im at 389lbs today i really need help to reprogram my pouch! I was told to do liquid diet and it seems harder than my two weeks post op!
Well done doc , you are very smart
Good info
Is Celiac Disease contraindicated with gastric bypass?
Why is keeping the entire stomach in the bypass..... Not send signals to your brain to tell you to eat.... Yet when you take the stomach out it stops sending thoes signals.
Im soon getting gastric sleeve or gastric bypass what ever my dr decides which is best for me I did my research about gastric sleeve and gastric bypass for many years now ❤
What If I'm diabetic and need to loose weight? Which do I take.
Doctor would you have these surgeries done on your own stomach?
Yes I would
Of course he is going to answer it this way, it is how he makes money!
@@DelPinoWeightLossCenter 🤣
@@carennewell6969
😂😂😂😂
Lessened acid reflux reduction with RNY ??? Not the case with me... as i had the RNY surgery approx 19 years ago and I still have extremely high blood pressure (treated)and acid reflux misery vomiting that last long as 2 days. So what is my problem? I’m I a likely candidate for revision?
First they must diagnose that acid reflux is present with Bravo test.
If acid reflux is confirmed most common cause is a large gastric pouch or a complication called gastro-gastric fistula. Good Luck!
I had gastric bypass just over 5 years ago...have had no acid reflux or dumping.. I lost lots of weight but when I had partial foot amputation 17 months ago I gained a out 50 pounds back for lack of moving around and eating quick grab foods cuz had to stay off foot.. Losing pounds again now but lots of it is fluid retention from CHF..Almost 70 but still staying strong. Can't giveup..oh and after RNY..my insulin injections were reduced less than half and I'm keeping my A1C under 7.0...was 5.9.... 3 months ago...
@@karenlara9739 prayers for your recovery ❤
Char Brady need a Bravo test to confirm or rule out acid reflux. Ask your family doctor
Exactly Very well explained
I did my surgery 4 weeks back
@@MrShahnilesh1975 Congratulations! Are u feeling well? I am headed for the sleeve bypass in 2020. (In Toronto)
@@ru4862able
Yes I am feeling very well.
Feel have a new life. .
Thanks for asking.
@@MrShahnilesh1975 that is really wonderful to know. Thank you for your reply. If you don't mind me asking did you have the sleeve bypass?
@@ru4862able
Laparoscopic sleeve gastrectomy.
This video is super helpful. But now I wonder what is best for me 🤔 I was think sleeve this whole time
The gym is the best option
GBP achieve better long term results at higher costs compared to SG. So for class 1,2 obesity ( BMI 40-45 ) Sleeve is suitable.
Interesting 🤔
Very helpful and informative
Thank you!
With the bypass, do you still lose the weight?
Absolutely
I been heavy all my life I tried everything to lose weight.. lipo expensive diet pills.. I’m 28 5’5 215 do I qualify for sleeve surgery???
Yes you do
@@DelPinoWeightLossCenter how much is the sleeve or bypass and those cons of not being able to eat red meat or tortillas that sucks
If you get both Mr dr,,,my mom had the slive,,than she has very bad vitamin deficenciy but the worst ACID REFLUX,,,, eshopagitis right now,,,and hiatal hernia,,,the first dr did not considered to do the bypass...........why?
I don't know. You must ask that doctor.
How are you going to "automatically" burn more? What is it about chopping off half of your stomach that increases energy use in your body??
Click Clack Pow you consume less food cause u have less space so the body starts burning fat you already have for energy hence you lose weight
Great question as this isn’t apparent. These surgeries are different than eating less because it changes your gut microbiome also and changes the amount of hormones produced.
Your new weight set point will be lowered and your body will lose weight to reach this new Heather weight automatically ( assuming proper diet is followed)
Why not let the man finish what he was saying??? Grrr!!!
I am 78 kg and want to gestric sleeve but scared to die with surgery 😢
what I want to know is ?? WHY is the success rate soo low ??? 55 % roughly ?? that's only half.. what's the problem ??? what about a proper diet and exercise ??
My Surgeon said anywhere from 60-80%, even better if you truly put in the work following the diet, and exercise.
@@STILLNIGHTPEARL probably true.. IF they TRULY put in the work... MOST people are going to be tooo lazy and or... not get the counseling that they NEED to correct their problems that got them there in the first place ?? thanks for your response...
Guy Loehr yeah, these surgeries are tools to help you eat a lot better, and a lot less, that’s a huge help, everything else is really on you, I have my ekg today, next month I should be having my sleeve done, I’m around 304 lbs, my max was 325, hopefully 185-205 by the end of it, my height is around 6’1, I think that’s a good weight range for my height, I’ll be cool at 205, and just build muscle along the way down there. Already lost about 20 lbs on my own, but I have hit a nasty plateau, but I’m still trying, just trying to get a head start. My friend is about two years out from his sleeve, went from 430-260, has kept it off, so it definitely works, but it really is a lifestyle change, avoid liquid calories, things that go down quick, protein is key, keeps you full without the massive amount of calories, carbs and sugar are lethal.
If you want the most weight loss you should consider the duodenal switch or the modified duodenal switch
So without surgery I can never get well please can someone reply me
Yes you can. You can try different options. Keto, intermittent fasting. There are many different options to consider 🙂
Type 1 diabetes as well?? I doubt it but I would do it
Great…acid reflux, hiatal hernia, high cholesterol and BP controlled by meds, plus sleep apnea…sounds like it makes sense to consider the bypass, eh?
❤️
How old do u have to be
18
Then is nit just better do do a healthy life style diet.its hard but nit impossible. Is best to stay away from these operations.
If you had a sleeve 8 years ago can you have a bypass surgery I had the sleeve 8 year ago new doctor ran tests on me found out my sleeve was done wrong. I never had heartburn are reflux. Have a ? I never took vitamins after my surgery and I became vegetarian because of the surgery. However my blood works show like I'm healthy even if I haven't took not one vitamin and weight gain
You should try and connect with a bariatric dietitian. They can help you best with your question.
@@gortongirl had bypass surgery 3 months ago
@@hollywoodstacks394 Were you able to see a dietitian before or after your surgery?
@@gortongirl yes last surgery was done in a different state this time was in my state so far im down 96.7 lbs 2 months after surgery
I feel sorry for my g/f no more meat for her lol
Thanks doctor
I am sleeved, I ma really ok, I know many peoples that after the bypass they have did GS, because not enough to losses necessary weight
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.
Your video is extremely informative and i feel like people who are having a hard time choosing which weight loss surgery should see this. I will share.