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This is Dr. david
the ups for a gastric bipass is that it could help you eat less and loose weight which could help you reverse your diabetes symptoms.
the down sides of surgery is that it is surgery and there are small risks for surgery including bleeding and infection and recovery from surgery and you have a sent in your heart and you could have some heart weakness and this can increase risks in surgery.
have you consulted with a barbaric surgeon to see if you would be able to tolerate the surgery for stomach bipass to help you loose weight?