people suffering from metabolic syndrome do not get rid off this condition by medications but keep on worsen with time. Bariatric surgery can bring you out of it so you should choose surgery as it is more effective in reversing metabolic syndrome.
All Bariatric procedures have metabolic effects but Gastric bypass procedures are considered to have greater metabolic effects than sleeve gastrectomy. Insulin Resistance is the main component of metabolic syndrome and bariatric surgery reverses the insulin resistance independent of weight loss by re-routing the nutrients flow.