Metabolic & bariatric care · Austin, South Austin & Cedar Park
At NuSelf, we offer advanced metabolic surgery including single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S). Dr. Sashidhar Ganta brings extensive experience and a personalized approach to substantial weight loss, metabolic health and long-term support.
SADI-S combines a sleeve gastrectomy with a single intestinal connection. The duodenum is divided just beyond the stomach outlet and connected to a loop of ileum. This changes how food travels through the intestine and where it meets digestive juices, supporting weight loss and improvements in metabolic health. Lifelong supplements, protein intake and nutritional monitoring are essential.
SADI-S combines a sleeve with a new connection from the duodenum to a later part of the small intestine. The sleeve removes much of the stomach region that produces ghrelin, a hormone involved in hunger. The intestinal connection changes when nutrients meet digestive juices and which intestinal cells encounter food.
These changes influence natural signals such as GLP-1, which supports insulin release in response to elevated glucose, and PYY, which contributes to fullness. Research in people shows altered meal-related hormone responses after SADI-S; the pattern is not identical to traditional duodenal switch. Reduced calorie absorption and changes in insulin sensitivity also contribute to its metabolic effects.
For appropriately selected patients, this combination can provide substantial weight loss and improvement in type 2 diabetes and other weight-related conditions. The same intestinal changes make protein, vitamin and mineral intake especially important. A clear supplementation plan, periodic blood tests and lifelong follow-up help protect your nutrition as your weight and health improve. Your surgeon tailors the procedure and long-term plan to your individual needs.
SADI-S combines a sleeve gastrectomy with a single intestinal connection. The duodenum is divided just beyond the stomach outlet and connected to a loop of ileum. This changes how food travels through the intestine and where it meets digestive juices, supporting weight loss and improvements in metabolic health. Lifelong supplements, protein intake and nutritional monitoring are essential.
At NuSelf, primary metabolic and bariatric surgery may be considered with a BMI over 30 when an obesity-related condition is present, or a BMI over 35 without an associated condition. Conditions such as type 2 diabetes, sleep apnea and high blood pressure are part of your evaluation. We consider your health, previous treatment and readiness for long-term follow-up together. Insurance plans may apply different coverage requirements.
Life post-SADI-S involves significant positive changes. With comprehensive nutritional guidance and lifestyle support, our patients enjoy lasting weight loss, improved health, and a renewed sense of well-being.
Health issues such as diabetes, high blood pressure, sleep apnea, heart problems, joint issues, fertility problems and many others improve significantly due to metabolic changes and weight loss.
Absolutely! Once you fully heal, you will be able to enjoy your dining experiences. Your food preferences and taste changes! Many patients seem to crave more healthy foods and lose their appetite for junk foods.
Substantial weight loss and improvements in metabolic health are possible. Results depend on your starting health, procedure, nutrition, follow-up and the time since treatment. Your surgeon will discuss a realistic expectation for you, including how progress is measured and maintained.
Your safety is our priority. Careful evaluation, experienced surgical care and attentive follow-up help us identify and address concerns. Your surgeon will explain the risks relevant to your procedure and health, including bleeding, infection, leaks, blood clots and nutritional problems where applicable.
SADI-S patients at NuSelf have shown excellent results in sustained initial weight loss, dramatic improvement of metabolic conditions and long term weight maintenance. Sadi-S Bariatric surgery is a powerful and scientifically proven tool. With our support program and your commitment, we are confident that you can achieve the lasting success you deserve.
SADI-S patients at NuSelf have shown excellent results in sustained initial weight loss, dramatic improvement of metabolic conditions and long term weight maintenance. Sadi-S Bariatric surgery is a powerful and scientifically proven tool. With our support program and your commitment, we are confident that you can achieve the lasting success you deserve.
Recovery from SADI-S surgery is typically faster than traditional bariatric procedures with gastric bypass and generally no different than a standard gastric sleeve. Most patients can expect to resume normal activities within one to two weeks with ongoing support from our dedicated team. Your discharge and activity timeline are individualized according to your recovery and your surgeon’s instructions.
We believe in transparent communication about all aspects of the surgery, including costs. Our team is here to assist with insurance queries or provide information on self-pay options to ensure you can make informed financial decisions.
Insurance coverage can vary, and many patients qualify.The insurance team at NuSelf has helped thousands of patients successfully navigate the insurance process.
For patients without insurance coverage for bariatric surgery, NuSelf offers comprehensive, affordable self-pay packages. Our team coordinates the procedure, facility, anesthesia and follow-up components of your proposed plan and provides a written package quote. Ask our Insurance Concierge about benefits, self-pay options, financing and the long-term support included in your plan.
Many people consider bariatric surgery an investment in long-term health, mobility and quality of life. Improvements in obesity-related conditions may change future healthcare needs and costs; the financial effect is individual.
We continuously seek out and incorporate the latest advancements in SADI-S and bariatric surgery to ensure you receive the most effective care possible. Your success is our success!
Take the first step towards a healthier, more fulfilling life with SADI-S surgery at NuSelf. Contact us today to schedule a consultation and learn more about how we can support your weight loss goals.
Protein intake, lifelong vitamin and mineral supplementation, and scheduled blood tests are essential after intestinal bypass. Your team monitors for deficiencies, bowel changes and other symptoms and adjusts your plan as your needs change.
MD, FACS, FRCS, FRCSI
Founder & President · Robotic General and Bariatric Surgeon · Board-Certified · Yale Fellowship-Trained
20+ years. More than 6,000 bariatric patients. Advanced metabolic surgery and complex revisions.
Meet Dr. GantaArrange your secure portal access for records, results and private communication.
Make the proposed treatment and expected patient responsibility clear.
Review your health, compare suitable treatments and ask your questions.
Agree on preparation, timing, recovery and long-term follow-up.
Your next step
Meet your surgeon. Get answers about insurance and self-pay. Make a plan for your health—with a team that stays with you.
Education & professional credentials
A foundation of training. A commitment to advancing care.
