Tratments
At our clinic, treatment selection is based not only on weight, but on a comprehensive metabolic assessment. Through our Metabolic Rescue 360 program, we classify your care into three strategic pathways:
Pathway A. Rescue After Medications and GLP-1s
Designed for patients who have not achieved their goals with medication, regained weight after
discontinuing treatment, or experienced muscle loss. Our approach includes:
Supervised Medical Management:
Management of side effects and dose optimization.
Nutritional and Strength Support:
Preservation of protein intake and muscle mass.
Pathway B. Rescue After Surgery (Revisional Surgery)
Dr. Castañeda has extensive experience correcting or enhancing previous bariatric procedures,
including cases involving a dilated sleeve, reflux, or weight regain.
• Gastric Bypass: Modifies the digestive pathway to improve metabolic outcomes.
• Duodenal Switch: One of the most powerful procedures for weight loss and severe
metabolic disease management.
• SASI and SADI-S: Modern techniques that combine sleeve gastrectomy with partial
intestinal bypass to achieve a more balanced approach to nutrient absorption.
Pathway C. Prevention and Initial Treatment
For patients who have not yet undergone medication or surgery, or who are beginning to
experience weight gain.
* Lifestyle changes
* Nutrition
* Exercise
* Medical treatment
* Digital follow-up
Advanced Surgical Solutions to Lose Weight and Reclaim Your Health
Dr. José Castañeda offers a comprehensive range of bariatric and metabolic procedures designed
to help each patient achieve effective, safe, and sustainable weight loss.
Each treatment is recommended on an individualized basis, taking into consideration your health status, medical history, and long-term goals.
Each treatment is recommended on an individualized basis, taking into consideration your health status, medical history, and long-term goals.
Gastric Bypass
One of the most extensively studied and effective procedures for long-term weight loss.
It involves reducing the size of the stomach and modifying the digestive pathway, helping to
reduce the amount of food you can consume while also improving metabolic function.
In addition to weight loss, gastric bypass can significantly contribute to the control or remission
of conditions such as type 2 diabetes.
Gastric Sleeve (Sleeve Gastrectomy)
Sleeve gastrectomy reduces the size of the stomach by approximately 70–80%, helping you feel satisfied with smaller amounts of food.
It also produces hormonal changes that can help reduce appetite and improve metabolic function.
It is an effective option for patients seeking progressive and sustainable weight loss.
Gastric Band
Gastric banding involves placing an adjustable device around the upper portion of the stomach to
limit the amount of food that can be consumed.
Although it was one of the most commonly performed bariatric procedures in the past, it is now recommended only in specific cases and following careful medical evaluation.
Duodenal switch
One of the most comprehensive and effective procedures for weight loss.
It combines stomach reduction with a more extensive intestinal bypass, allowing for significant
weight loss and substantial improvements in metabolic conditions.
Close medical follow-up is required due to changes in nutrient absorption.
Which Treatment Is Right for You?
Every patient is different. That is why the choice of procedure is not based solely on weight, but
on multiple medical and personal factors.
A comprehensive evaluation will help determine the best option for you, always prioritizing your
safety, health, and long-term results.