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Weight loss surgery is never a one-size-fits-all decision. At New York Bariatric Group (NYBG), we believe each patient’s journey is unique, including various treatments that can help you achieve a healthier, more fulfilling life.
Social media influencer Remi Bader recently spoke on The Khloé Kardashian Podcast about undergoing the SADI procedure, also known as the Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy. Her candid story has sparked questions from patients and the media about what SADI is, who may benefit from it, and how it compares to other bariatric procedures.
What Is the SADI Procedure?
SADI (sometimes called SADI-S) combines two components:
- Sleeve Gastrectomy: Surgical removal of about 80% of the stomach, creating a smaller “sleeve.” This helps limit the volume of food a patient can comfortably eat. The sleeve also lints ghrelin( a hunger hormone), which is produced in the part of the stomach that is removed by the surgery.
- Duodenal-Ileal Bypass: A rerouting of part of the small intestine. This adjustment can reduce calorie and nutrient absorption while influencing hormonal signals that help regulate appetite and metabolism.
While SADI builds on principles used in other bariatric surgeries—like the gastric sleeve and bypass—it’s still a relatively new procedure.
Early research and patient experiences are promising, but as with any surgery, discussing all options with an expert bariatric surgeon is essential.
Why Some Patients Opt for SADI
Many people have heard of the gastric sleeve or gastric bypass, but SADI offers a hybrid approach. For those who have risk factors like binge-eating behavior, metabolic issues such as Type 2 diabetes, or significant weight gain after a previous bariatric procedure, SADI can sometimes be a more suitable match. It is also an excellent revision procedure for sleeve patients who have regained weight or have reflux.
Remi Bader highlighted on Khloé Kardashian’s podcast that her care team suggested a different solution than the standard “sleeve” because of her history with emotional or binge eating.
“It’s not just that they cut out part of your stomach... They also reroute your intestines,” she shared, reflecting on her decision-making process.
Also, out of all of the available weight loss procedures, the SADI leads to the highest natural production of GLP-1 by the body. GLP-1 is the activated hormone in popular weight loss medications such as Wegovy and Ozempic.
By reducing both the stomach size and adjusting how the body absorbs nutrients, SADI can be beneficial in helping patients reach and maintain a healthier weight long-term—especially when guided by a comprehensive care plan.
Honest Recovery Reflections
In the podcast, Remi Bader described her initial weeks after SADI as more complicated than she had anticipated.
Postoperative experiences vary widely from patient to patient, but it’s critical to be prepared:
- Hospital Stay & Early Days: Most patients can leave after an overnight stay. The experienced surgeons at NYBG can also offer selected patients the surgery as a same day procedure in one of the state of the art Ambulatory Surgery Centers.
- Nutritional Adjustments: As with most bariatric surgeries, you’ll progress from clear liquids to pureed foods and eventually to a regular, high-protein, nutrient-rich diet. SADI typically requires lifelong vitamin supplementation, given the changes in absorption.
- Emotion & Mindset: Surgery is a tool, not a quick fix. Addressing emotional or binge-eating patterns often means ongoing therapy or support groups. Feeling overwhelmed is normal, and it’s okay to seek professional help.
Remi underscores that her first six weeks were particularly rough, but as time passed, many of her obesity-related health issues—like back pain, fatigue, and worries about fertility—improved significantly.
However, Remi’s experience highlights an important reminder: even the same procedure can lead to vastly different recoveries. Remi’s experience is not typical of our patients who undergo this procedure. Most patients who seek this surgery from NYBG fully recover within a week. Surgeon experience, especially with ambulatory surgery, matters.
Not everyone encounters the same obstacles, and many patients’ early weeks go more smoothly. Still, all bariatric surgeries, including SADI, require a permanent commitment to a new lifestyle.
Caring support from surgeons, nutritionists, and mental health professionals is integral to safe, lasting success.
“I’m not here to tell anyone what to do,” Remi said, “but this is what worked for me, for my health.”
Why SADI Patients Choose NYBG: A Trusted Team and Comprehensive Support
Remi Bader emphasized in her interview that surgery alone doesn’t guarantee success. Postoperative nutrition, counseling, and personalized care are vital for overcoming the “mindset” challenges surrounding weight loss and eating habits.
NYBG has pioneered patient-focused programs designed to optimize each person’s journey:
- Nutrition Support: Registered dietitians specialized in bariatric care help you transition from liquids to balanced, solid meals, targeting adequate protein and nutrients.
- Behavioral Health: Licensed psychologists and counselors work through the emotional drivers behind eating patterns, empowering you to form healthier habits.
- Long-Term Follow-Up: Regular checkups keep you on track, adjusting supplements or addressing lifestyle hurdles as needed.
- NYBG surgeons have pioneered safe same-day surgery, including Sadi and sleeve.
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Remi’s journey is a reminder that when serious weight-related health issues hold you back, bariatric surgery can be a life-changing tool—especially when you have the right team on your side.
You don’t have to “go it alone.” If you’ve been exploring the idea of SADI or any other bariatric procedure, we encourage you to reach out for a consultation. Our experienced, compassionate team at NYBG is here to guide you to better health, well-being, and the confidence to embrace your life fully.
