I have learned a LOT about MALS since 2015 when this all started for me. What is quite apparent to me now is that this is a complicated surgery and a complicated problem. But MALS is real, and when the compression is fully relieved people do get much better. I had my revision surgery 2 weeks ago and I have gone from 120 lbs to 126 in that time, and I just hope that continues. I had gotten so thin, I was thinner than I was in high school. At this point, you might be better off reaching out to another MALS surgeon who has a lot more experience. A psychiatrist can help you in the meantime. I started seeing one last summer and tried a few medications. First we tried mirtazapine which is an antidepressant that stimulates the appetite, but it had intolerable side effects for me. Eventually I tried a combo of gabapentin and nortriptyline and this eventually improved my sleep, anxiety and appetite enough that I was able to get through the next few months of surgical consults.