We have practically the exact same starting stats!! (Same height, but i was just 1 lbs shy of you at 235 😉)
To answer your questions (and note that this pertains to my experience and may or may not be yours), no, i have not experienced and “serious” long-term or permanent health issues.
I’m 3 years, 8 mnths post.
My energy came back and then some by 1 month; the hair that started falling out at 3 months already started growing back about 6 months; my last set of labs done in March this year say im the picture of health. And i have maintained below goal weight since reaching it at 7 months post-op over 3 years ago.
I do have a couple of slightly annoying changes due to the surgery/weight loss though, but nothing i can’t deal with, nor anything that would make me regret having it done:
1) i am gassy/have mild acid reflux now, lol..but im on medication that keeps it at bay and i adjust my lifestyle to accommodate it: go to sleep on empty stomach, take lactose pills before consuming dairy, etc..
2) i am a lot weaker than i used to be..in terms of strength like lifting heavy things or opening jar lids. I figure i just need to build back more muscle, but im lazy i guess. Plus there’s always someone around to carry or open things for me anyway Lololololzzz.
There are those out there that do experience some serious issues, but I don’t believe its the norm. You won’t know how YOU will fare until you do.
Good Luck! ❤️