Sounds like we are all in the same get healthy mindset. I am in the beginning, getting clearances and hope to have the roux n y in April 2012. I too have comorbidities that have decreased my quality of life, and the endocrinologist said there's nothing more he can do for me but keep increasing my dosage of insulin, which is causing me to gain more weight, regardless of diet and exercise. I'm on an insulin pump, using U-500 insulin, and it's too restrictive. I am just done with this not being able to walk from pain of a herniated disc and horrific sciatica, that never leaves. I want to run around with my grandson, shop and not get tired, not use an amigo at Walmart! I remember what working out felt like, and I want to go back to the gym and see some real results. Sally, I am with you...same situation, but I'm just starting out.