Hey, its YOUR body, not theirs. Since I have a real aversion to surgery, subscribing to the theory what they take out they can't put back in, I'd say the two of us think quite a bit alike.
Personally, I'd go for BOTH the TPN "and" the methotrexate. I "did" TPN for 2 1/2 - 3 months to gain weight several years ago now. Worked great and was no real inconvenience.
I waited too long before agreeing to a resection - in a way - but it worked out just fine BECAUSE - I refusesd surgery locally when I obstructed (and possibly perforated - THEY said I perforated but they lied about
other things too trying to get me to agree to surgery) so I was admitted, they didn't have TPN back then and I was just on IVs, fluids (NPO) and an NG tube pumping my gut out for 6 weeks. Then I flew to Mayo Clinic in MN and had an emergency resection the next day.
That worked out great. I was in much better shape nutritionally, and obviously if I HAD perforated as the locals said, THAT was cleared up and no infection and that Mayo resection was the easiest surgery and recovery PLUS I then enjoyed a 20 year remisson.
If I were you I definitely would do the TPN, and for more than just a week. I'd do the TPN until I got close to or at the ideal weight for my age and body structure. Even if it turns out that you need the resection you will be in so much better shape for the healing and recovery afterwards. The TPN sound to me like some of the best advice you've had! Go for it!
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