i chose the rny.  it is the more time-tested of the two procedures.  it is more often covered by insurance.  i was also very concerned about the high risk of deficiencies with the ds.

ultimately, it is your decision.  there is a lot of good information out there.  consult with a few different doctors and take your time making the choice that is best for you.

i used to always feel hot and sweat with the most minimal exertion before my surgery.  i'd even perspire while putting on my makeup.  it sucks.  i would have the fan going all the time (or the a/c before i moved to california where no one seems to own the dang things). 

since i've had surgery, it has gotten a lot better.  i haven't been back to work yet, so i don't know how it will be there but i don't always have to sleep with the fan on.  i can put on my makeup with out sweating profusely.  now i mostly seem to sweat with normal exertion.

this can be so frustrating to deal with; hang in there.

here are some links i though might help:
http://www.sweathelp.org/English/
http://www.nlm.nih.gov/MEDLINEPLUS/ency/article/007259.htm

Jacqqui, thank you for sharing your story. Please keep me posted on how things are going with you. That is great to here your testosterone levels are low. Didn't think that would be possible, mine are so high. I am sure all will go will with you fibroids and cyst. I had some removed December of last year. Again thank you for sharing.

All the Best
Heidi

Terri, so glad to hear that the hair loss has stopped for you and that it has help hormonally. My hubby will be happy to hear it helps with that. LOL.
Thank you for sharing

Heidi

I'd already had a TAH/BSO when I had my DS, but I still had all the symptoms of PCOS not directly connected to menstrual/reproductive system issues.

I'd been both insulin resistant and insulin dependent with type II diabetes for some fifteen years. (Well, the insulin resistance probably went back further than that. I had glucose tolerance issues as young as my early teens--reactive hypoglycemia type stuff and elevated fasting blood sugars. But PCOS was essentially unknown at that time.) I went into the hospital on over 160 units a day of insulin, in an old fashioned tight control regimen of as many as 4-6 shots a day, plus Actos, and couldn't get a fasting blood sugar under 200. My A1c's hovered around 8. I had beginning nephropathy, retinopathy and significant neuropathy that had me on narcotics 24/7 for several years.

I left the hospital 3 days later on 20 units of insulin with a glucose of 90. I was completely off insulin within a month, off Actos within 4 months, and my A1c's have been in the nondiabetic range (under 6, actually under 5) for a year and a half now. All diabetic complications are GONE. My insulin responses are completely normal.

In other symptoms: My teenage style skin is no longer that way--no more oily skin or cystic acne. The excess body hair has improved a lot. All my skin tags and darkened skin areas are gone.

At my annual gyn exam earlier this year, the doc's opinion was that I could pretty much consider the whole PCOS issue resolved. We did not do the lab work necessary to back this up with hard facts, because there was no medical reason to ask the insurance to pay for it. If anybody ever hears about a study that follows this kind of thing (changes in PCOS after obesity surgery), let me know cuz I want to sign on!

I have lost over 220 pounds, which is over 90% of my excess weight, and am still losing, albeit far more slowly of course :-). I purposely put the brakes on my weight loss a few months ago by adding more carbs to my daily routine. A week from today I'm having an incisional hernia repair, abdominoplasty and panniculectomy, so I wanted to really slow down the weight loss until after I'm recovered from that. I want to see where I end up weight wise figuring in the removed skin and tissue, because I think I'm pretty much at a normal weight without the skin figured in.

Far as I'm concerned, my DS has been a phenomenal success thus far and I expect it to continue that way. I eat protein like it's going out of style, take my supplement regimen and periodic nutritional labs very seriously, and so far, all is well.

Please take a look at my profile for more information about my journey :-).