Hey OkieWolf!!
I have come so close so many times over only to be shot down for so many reasons. My insurance at work dropped it and put wls on the exclusion list, I had money saved up and was booking my date to go self pay and I had to put my savings into a roof for my home, and to help my daughter after she had a car wreck. At this point being a self pay, I am planning to borrow against my 401 k at work to cover it.
I am still leaning towards the gastric sleeve since the positives are more attractive to me. Yes, there is a large percentage of the stomach is removed and 86'd, however the pylori and intestines remain intact and the stomach that produces the hormone ghreniln(?) is removed, no hunger producing hormone no problem. There are about 50 to 100 positive reasons that I can rationalize the sleeve over the rny for myself.