Hi Kater...and Welcome!

First thing I think I would do is find some new docs - - definitely get rid of the rheumy!!

Is it possible that you and your pcp should have an conversation about a coordinated, comprehensive approach to your body's health? It always concerns me when the number of specialists increases and each has an idea (perhaps valid, but perhaps also only from the perspective of their specialty). Maybe even a second opinion from another pcp. And probably a consult with a different rheumy.

RE: bariatric surgery:
I really question this procedure for the healthy - - let alone for some one with your history - and am glad the bariatric surgeon expressed such reserve.

These are just my opinions...and really don't count for much. Ultimately, only you (with guidance provided by docs that you trust) can make these major decisions about your health and quality of life.

Sue