I was a pretty healthy person up until 2008, when my liver enzymes first became elevated. I had reached my then highest weight of 304, and then managed to get down to 263 through diet and exercise. My enzymes went back to normal. Then I got pregnant in 2010 and after I had my son, my health got worse. I was diagnosed with severe asthma around 2014, and my liver enzymes were elevated again. I started gaining weight steadily until I reached my all time high of 393 with a bmi of 69 (I am 5'3"). Back in January, I had my gallbladder removed.. I mentioned to the surgeon that I would be seeing a liver specialist because my liver enzymes kept getting higher and he did a biopsy while he was in there. The results were not good. I was diagnosed with Non Alcoholic Steatohepatitis (NASH) and hepatic fibrosis. The surgeon said my liver looked really bad, and he didn't see me living past 60. I'm an RN and have seen people die of liver failure and it's awful. I was 48 (just turned 49), and I had wanted wls for a long time but our insurance doesn't cover it. What that surgeon said was a wake up call, and so I made the decision to pay for the surgery myself. I wanted a sleeve, but the first bariatric surgeon recommended RNY because of my weight. I had planned to get that, but then COVID happened and they laid off that surgeon so I went to a different one that my cousin had RNY with 10 years ago. He told me about the Loop DS. He said I was a good candidate for it because of my high bmi and since I was self pay. It's still investigational and not covered by insurance. So I decided to do it. I had surgery on July 23rd. I was 368 on surgery day. The surgery went well but I was very nauseated the first few days and vomited old blood just like NovaLuna described. After that, and a kidney stone 11 days post op, recovery has been pretty smooth. I never really had much pain. As of today, I'm 322 pounds, walking every day, and feeling amazing, even though I'm still significantly obese. I was to the point of barely being able to walk anymore, and personal hygiene was hard. I had just been diagnosed with high BP and put on meds in May. I've been off the meds since surgery. I just had my first labs and everything was normal. My liver enzymes are still elevated, but about half of what they were. It's wonderful to be active again and being able to walk with my husband and son, who is a very active boy! I still have a long way to go but I'm so happy I did the surgery and don't regret it one bit! Good luck to you! Sent from my Nokia 7.2 using BariatricPal mobile app