What is the DS option? I had sleeve 7 years ago and am now struggling. Have "only" gained 20 of the 150lbs I lost, but everything just feels so different. My relationship with food feels like it did pre-sleeve. I now crave food all the time, am never satisfied, and am really struggling - like the fat person I was before surgery? I am afraid of the bypass, and (maybe) would entertain a sleeve tuneup if such a thing exists. Yes I do have terrible stomach pain/ heartburn, but not reflux? And that is well documented, yet they say that I do not have hernia...?