I already have palendromic Rheumatism , raynaud's and borderline Lupus

I have been told I'll have a hard time with these conditions if I have weight loss surgery. The pain now seems to be controled most days with meds. I can't help but think I will be better off 175 lb so so lighter. All the Kaiser Docs say no no no You can just exercise and eat right and lose all the weight you want. I need help to decide what is best Has Anyone had this problem. I am at a loss to know what to do.

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