Hi Kater and welcome to the neighborhood!

If the bariatric surgeon is reluctant...I would pay very close attention to that. He's the specialist in that area, not the PCP or the Reumy. Unless we took it (your statement) out of context, I can't believe your doctor told you that without bariatric = no quality of life = death. Geez....where's there breath...there's life...and it's precious.....and let's don't forget....HOPE...

I agree with Atlanta, maybe you can find a dietician or nutricion in your area that can help you on a personal level. You need someone who knows how to tackle this situation head on with your health condition and exercise. It sounds like you are already doing some exercise and you sound like a very determined person. You can do it!

Check with your hospital's staff and talk with the dietician there. That may be a good source of direction for you.

My sister had the same surgery...The surgery does not mean you weight problems are over. She is slowly putting her weight back on and it's because she has some health problems and can't get the activity that she once could do. This is a major decision and I would not base it on just the careless words of your PCP only.

Keep on "keeping on" and stay in there with the exercise. A little activity is better than no activity.

Hope you Have a blessed day.
JJ