Bariatric Revision Surgery, Am I A Candidate?

Many Americans that have undergone bariatric surgery have complications.  There are many factors that contribute to the why and how a patient has complications.  This could be because the patient’s anatomy has changed over time, they may have had major life changes that caused extreme stress and anxiety, or the surgeon may have used a technique that wasn’t right for their body.

Some patients gain their weight back over time.  It is important to understand that obesity is a chronic disease, you must treat the disease in mind and body to conquer it.  It is important to look at what the patient has gone through since they started gaining the weight back.  Did they have a big life event that caused stress, did they have a job change that makes going to the gym or eating healthy a challenge? Is the patient getting enough protein and still seeing the dietician? Are they taking their vitamins?  Have they come back for follow up visits with their surgeon every year? These are all important factors we look at when trying to see where the patient’s mind and body are and how we can get the patient back on track.

Occasionally a patient’s anatomy plays a huge factor in how they respond to bariatric surgery.  They may develop reflux or start vomiting after eating.  Some patients complain of abdominal pain or port pain from their lap band.  They may stop losing weight completely.  This is more cause for concern and may require surgical changes to adjust to their body’s needs.

Dr. Dyslin is an expert at bariatric revision surgery.  He can offer compassionate care for patients and help them understand what is happening to their body.  He offers lap band removal, band to sleeve, band to bypass, sleeve to bypass and can treat hernia issues due to bariatric surgery.  Don’t suffer another day with your failed surgery, we are here to help.  Make an appointment today by calling 817-832-7227 or schedule online:

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What role do vitamins play in bariatric surgery?

General immune health and support are top of mind for many of us.  As you know, following bariatric surgery there are several recommendations for micro-nutrient supplementation in order to help prevent nutrient deficiencies.  Here is a quick review of various nutrients and their impact on our immune health.

Vitamin C

Vitamin C, an antioxidant, has long been studied for its impact on our health and well-being and is vital to help white blood cells fight off invaders and regular intake has been shown to promote health.

  • There are no current established post-bariatric surgery guidelines for the amount of vitamin C you should take. Be sure that your multivitamin provides you with at least 100% of the daily value.

Vitamin D

While traditionally thought of for its role in bone health, vitamin D is a powerful nutrient that serves many functions within the body—including support of the immune system.  Having a deficiency of vitamin D can negatively impact immune function.

Many bariatric surgery patients are deficient in vitamin D both before and after surgery.  Be sure you are getting your labs checked at least one time a year after surgery so that your doctor can guide you on the proper dose.

  • After bariatric surgery, it is recommended that you take at least 75 mcg (3,000 IU) per day of vitamin D until your blood levels of vitamin D reach >30ng/mL. Some patients need even more than this amount each day in order to reach a normal vitamin D level in their blood.

Vitamin A

Studies continue to show that many patients are deficient in vitamin A after bariatric surgery, and this fat-soluble vitamin is necessary to support the body’s ability to have a strong immune response.

  • The range of vitamin A that is recommended after surgery is between 5,000-10,000 IU each day depending on which procedure you had.


This mineral plays a key role in boosting our immune systems.  Widely available as a supplement, it can be an important player in supporting immune health.

After bariatric surgery it is recommended that you consume between 8-22 mg of zinc each day depending on your gender and surgical procedure.


This trace mineral is also a key nutrient for immune function, and it acts as an antioxidant, which helps the body defend against challenges.

There are no established guidelines for the post-bariatric patient for selenium intake, just that your multivitamin “contains” selenium.


Probiotics not only support gut health, but studies have shown that depending on the probiotic strain they can influence the immune system.  Certain strains have been found to increase immune response, especially in children.

  • There are no established guidelines for the post-bariatric patient for supplemental probiotic intake; speak with your health care provider for guidance on selecting a probiotic that best supports your needs.

Keeping the immune system strong and responsive is important to maintain health.  Bariatric surgery patients have additional challenges in maintaining an adequate intake of these nutrients and often require larger amounts due to reduced absorption.  Taking your supplements can help you stay on a healthy path.


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Motivation Monday- Patient Testimonial

Night after night, Angela Torres awoke to a horrible, suffocating feeling. She knew her weight was the culprit. She feared for her life every time she stirred from sleep, choking and gasping for air. As a grandmother, she especially wanted to live and be a part of her grandchildren’s lives. She knew she was overdue for a permanent lifestyle change.

Angela struggled with being overweight for years and she felt the effects on a daily basis. Her knees ached from carrying around unnecessary weight and she often found herself out of breath. She tried numerous approaches to weight loss—various diets, exercise routines, she joined a gym and even hired a personal trainer. Nothing gave her the weight loss results she wanted.

One of Angela’s coworkers had bariatric surgery and shared the experience with Angela. The story sparked Angela’s interest, so she did her research. She read about the different types of surgeries, she read several doctors’ bios and patient testimonials, and then she discovered Dr. Dyslin. She immediately felt drawn to Dr. Dyslin and decided to make an appointment with him.

After her initial consultation, she knew she wanted to have bariatric surgery and she wanted Dr. Dyslin to become her doctor. He was very knowledgeable, caring, listened to all of her concerns and answered all of her questions—and even answered her family’s questions, despite a language barrier. He put her at ease about having the surgery and walked her through every step.

Angela had Gastric Bypass surgery in November.  Within two weeks after her second surgery, she was able to incorporate soft foods and shortly thereafter, she started her new normal eating regimen.

Dr. Dyslin has continued to help Angela transition into her post-surgery lifestyle through educating her about diet and exercise that compliment her surgery and facilitate her weight loss. He has helped her feel comfortable about various lifestyle modifications, and was particularly helpful in suggesting certain exercises to accommodate her unrelated injured ankle. She now exercises three to four times a week and enjoys eating healthier meals with her family.

Angela believes her bypass surgery was the best decision of her life and she recommends Dr. Dyslin “in a heartbeat.” She continues to lose weight and gain energy. Angela now feels comfortable and confident taking her grandchildren to the park—a newfound freedom for making invaluable memories.