I'd exhaust other options before WLS, that should be your absolute last resort. Have a competent doctor investigate the medical cause of your IR- it could be PCOS, NAFLD, or something else that's treatable.
WLS is a major operation with a good deal of risk, not to mention the aftermath (stomach & food amount issues) can be rougher than the recovery time for some individuals. I was considering it at one time, but that was before my IR diagnosis which opened up other solutions that worked. A good doctor made all the difference, before which I had been dealing with clueless "medical professionals" who accused me of being a closet overeater and didn't want to be bothered to do a glucose resistance test.
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