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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.
I am sorry you are battling so many medical issues.
you should consult with a barriatric surgeon about gastric sleeve surgery to help you loose weight.
it may be a challenge to get you through surgery if you are on blood thinners and heart medications and have a pacemaker.
a smaller stomach can still absorb your medications for you after stomach surgery.
usually gastric sleeve surgery is tried sooner before you develop so much heart issues
at leas you haven't developed diabetes yet.
do you have a primary care doctor who can refer you to see a barriatic surgeon to talk about the possibility of a gastric sleeve surgery?