truthfully john g,- i don't know anymore.- right now i have asthmatic bronchitis, and this is a lucid,-in between drugs- time so i am reading online.- i am tired of fighting my health. - i will always have to watch what i eat,- surgery or not,- i DO know that i will not 'flush',-- hell, i don't like to floss cuz that means putting my fingers in my mouth, so i use the rubber tipped thingy,- and frequent dental visits (ever 6 months) for a good cleaning.- i'll have the surgery, and learn to eat fatless.... - thank you for your concern. - maybe after my head clears you'll have something i can advise on....d