I had the gastric sleeve in 2017 and lost around 69 pounds. Unfortunately, I have been unable to keep it off. As I lost my momentum during 2020 and haven't found it since. I currently have an hiatal hernia which is causing some reflux and swelling. My doctor has recommended a revision to the sleeve. I am currently taking methotrexate, hydroxychloroquine, and folic acid for Rheumatoid Arthritis. I am also in menopause. I have some concerns regarding the proposed revision. Has anyone had a bypass and is also taking these medications? If so, do you still take pill form, or have you had to change? Additionally, has anyone had the bypass after menopause? If so, have you noticed any difficulty with maintaining vitamin levels? Very interested in learning if these conditions have impacted your bypass journey. Thank you