My situation was similar to yours. I had the sleeve in 2012 and lost at first but then gained it back while having problems with an eroded band. I had the revision on December 18, 2017 and although I was active, ended up in the hospital in January for a week with bilateral pulmonary embolisms. (I noticed I was having problems breathing while hiking in a local state park two days earlier). I am on Elliquis now and doing great. My starting weight was 243 and I am already down to 181.6 after only 4 months. To me, the sleeve is much easier. After the initial recovery and brief stint in the hospital, it has been smooth sailing. I am careful to follow all of the guidelines and hardly ever feel hungry still. Except for my thyroid, all of my medical issues have resolved themselves so I am only taking the Elliquis and thyroid medicine now. (Oh, and ADHD medicine but that's not weight related). I have to admit, I wasn't as excited this time and was a little skeptical that it would work after my struggle with the band. However, I am so happy with the results now.