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The right bariatric procedure is chosen through shared decision making. I evaluate your biology, risks, and long term goals, and we choose the safest, most effective operation together.

Real science. Real surgery. Real results.

Duodenal Switch  patients often eat more long‑term than gastric bypass patients and still lose more weight. The longer bypass and controlled malabsorption create a unique metabolic advantage that goes far beyond restriction.
duodenalswitch

SADI/DS carries a higher risk of vitamin deficiencies than gastric bypass. It’s not ideal for patients who cannot maintain long‑term supplementation or who have conditions that worsen malabsorption.
SADI

Want to MAXIMIZE fat burning? Here’s what the science actually says.

Strength training + cardio = 2X the fat burn. Research shows that performing aerobic exercise AFTER resistance training doubles your fat oxidation compared to cardio alone. Your body depletes glycogen during weights, forcing it to tap into fat stores during cardio.

THE FACTS:

 

150–200 minutes/week of moderate-intensity cardio (60–70% max heart rate) burns fat effectively

 

Resistance training 3x/week preserves muscle during weight loss — critical because up to 25% of weight lost without strength training is lean muscle

 

Combining both can produce 4–8 lbs of pure fat loss in 12 weeks

 

 Moderate and high-intensity cardio burn roughly the SAME total fat over 24 hours — high intensity just burns more carbs during exercise and more fat after

 

 KNOW YOUR ZONE: Max heart rate = 220 minus your age. Fat-burning zone = 60–65% of that number.

Start where you are. Progress over time. The best workout is the one you actually do.

 

SADI/DS is ideal for patients with BMI > 50, severe metabolic disease, or inadequate weight loss after sleeve gastrectomy. It’s a powerful revision option when the biology needs more than a sleeve or bypass can deliver. Real science. Real surgery. Real results.
bariatricsurgery

When timing changes, our commitment doesn’t, so we make the wait feel like a warm welcome

Classic DS uses two connections; SADI uses one. Both create a much longer bypass than gastric bypass, producing stronger hormonal shifts and calorie malabsorption. SADI is the streamlined evolution of the DS.

SADI/DS delivers some of the highest diabetes‑resolution rates in metabolic surgery. In a randomized trial, the duodenal switch resolved diabetes in ~95% of patients by dramatically improving gut‑pancreas signaling and natural GLP‑1 release.

diabetes

Meet one of my partners, Dr Steven Henriques

SADI combines a sleeve with a deeper intestinal bypass, creating stronger hormonal change and true calorie malabsorption. This is why it outperforms sleeve and bypass in patients with severe metabolic disease.
SADI