Light weight here. Starting bmi at 40. I hada lot of pain from the hips down and high cholesterol and that's it. The thing is diabetes goes back three generations for me. I'm convinced I was going to be the fourth. I chose the ds because of that. You do not have to be mo in my family to be diabetic either. So even if I got the sleeve and lost all the weight, I'm sure I would end up being diabetic. I guess you could say I got the ds to prevent diabetes. That is hard for a lot of people to swallow. I also will admit that I hated myself mo. Yes, part of my decision to get the ds was because it is the most effective surgery and I wanted the best chances of staying normal weight. I'm a little vain and yes, I'll admit it, I want to be what society considers pretty. I hate saying that, but it's honest.