Hello everyone! I am new here and want to introduce myself. I had a vsg in 2009 and lost 114lbs. I went from a bmi of 36 to 22 and I thought I had finally beat obesity. over the last 7+ years I've moved all over the country for work, ran 7 half marathons and a full marathon, bought a house by myself, developed fibromyalgia, and became a crippling insomniac do to shift work. The weight crept on slowly. I had to eat more carbs to fuel my marathon training in 2012 and it never fell off. I still eat clean (maintain a strict gluten free lifestyle) and I'm still more active than most people. I feel like I woke up one day with a bmi of 35 and had no idea how I ended up in this fat suit. I am embarrassed to say that I failed. So im considering a revision to a duodenal switch. However, I have a bmi of 35 with pcos, depression and insomnia. Any lightweights have issues with getting your ds covered by insurance? I have harvard pilgrim insurance. I also was told by an obesity specialist that because I was so successful with my sleeve initially that if I had gastric bypass I likely would only lose 20-30 lbs. why would I go through all the pain of another surgery just to lost 30 lbs? How would my body react to a ds then? anyone else have a similar story? Any advice of words of encouragement would be greatly appreciated! thanks for reading!