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Weight Loss By Design

Weight Loss By Design

Yazan: Dr. Michael Feiz
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Weight Loss by Design is a podcast hosted by Dr. Michael Feiz and Dr. Sean Rim, Beverly Hills–based bariatric specialists bringing together more than 30 years of combined experience and over 10,000 procedures performed. Each episode explores the science, strategy, and real-life experiences behind meaningful weight loss, offering insight into both surgical and non-surgical approaches. With a focus on thoughtful, individualized care, Dr. Feiz and Dr. Rim share what actually works, how to approach different treatment options, and what patients should consider at every stage of their journey. Whether you're just starting your weight loss journey, considering surgery, or looking for sustainable ways to maintain your results, Weight Loss by Design is here to guide and inspire you, while helping you make informed decisions about your health and long-term success.2026 Hygiene & Healthy Living
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  • SADI-S Unpacked: The Power of Advanced Weight Loss Surgery

    SADI-S Unpacked: The Power of Advanced Weight Loss Surgery
    28 Jul 2026

    In this episode of Weight Loss by Design, Dr. Michael Feiz and Dr. Sean Rim dive into malabsorptive procedures for weight loss, focusing on the SADI-S operation (Single Anastomosis Duodenoileal Bypass with Sleeve). The discussion covers how SADI-S works, compares it to traditional gastric bypass and sleeve gastrectomy, and explores patient selection and the long-term effectiveness of surgical interventions.

    Key Topics

    • What is SADI-S?
      Dr. Sean Rim introduces the SADI-S as a newer, unique bariatric surgery that combines the restrictive power of the sleeve gastrectomy with a potent malabsorptive component, limiting calorie absorption for effective weight loss 00:00:16.

    • Digestive Physiology Explained
      Dr. Michael Feiz provides a detailed explanation of how digestion and absorption occur in the stomach and small intestine—highlighting why targeting these areas leads to surgical weight loss 00:01:10.

    • How SADI-S Compares to Gastric Bypass
      The hosts discuss the fundamental difference in how much and which part of the small intestine is bypassed in SADI-S versus traditional gastric bypass, emphasizing the enhanced malabsorptive effect of SADI-S 00:04:13.

    • Restriction vs. Malabsorption
      Dr. Sean Rim discusses the roles of restriction and malabsorption in bariatric procedures and debunks common misconceptions about long-term hunger regulation after surgery 00:05:09.

    • Effectiveness and Longevity of Weight Loss Surgery
      Dr. Michael Feiz and Dr. Sean Rim address the long-term results of procedures like sleeve gastrectomy, gastric bypass, and SADI-S, noting high rates of sustainable weight loss relative to diet and exercise alone 00:09:01.

    • Choosing the Right Procedure
      The conversation covers how surgeons help patients decide on the best surgical option based on individual factors such as previous surgeries, BMI, eating habits, and patient preferences 00:12:04.

    • Revision Surgeries and Super Obesity
      SADI-S is highlighted as a strong option for patients needing revisional surgery after sleeve gastrectomy or for individuals in the "super obese" category, where greater weight loss is necessary 00:19:04.

    Memorable Quotes

    "No surgery is going to be all and end all of success... surgery or medication without behavioral and psychological modification, without changing your relationship with food, you will ultimately have a higher chance of being unsuccessful."
    — Dr. Michael Feiz 00:18:33

    "Our job is to provide the facts and what sort of lifestyle changes come with each operation, and I think most patients would agree that in general, less is better."
    — Dr. Sean Rim 00:15:31

    Resources Mentioned

    • SADI-S (Single Anastomosis Duodenoileal Bypass with Sleeve)

    • Gastric Bypass

    • Sleeve Gastrectomy

    • Dumping Syndrome

    • The concepts of restrictive and malabsorptive procedures

    Episode Takeaways

    • SADI-S is an advanced, highly effective bariatric surgery, suitable for both primary and revisional procedures.

    • Surgical weight loss delivers far more sustained results than diet and exercise alone, especially for patients with higher BMI or prior weight loss surgery.

    • Success with any surgery still depends on lifestyle, behavioral, and psychological changes.

    • Tailoring the surgical approach to each patient's unique situation maximizes long-term success.



    Subscribe, share, and leave a review if you found this episode helpful!

    Have questions or topics you want addressed? Send them in—your journey matters!

    Listen & Subscribe

    Tune in to "Weight Loss by Design" on your preferred podcast platform. Don't miss future episodes with Dr. Michael Feiz and Dr. Sean Rim as they break down everything you need to know about weight, health, and wellness!

    Weight Loss By Design with Dr. Michael Feiz and Dr. Sean Rim, leaders in bariatric surgery, here to guide and inspire you through every stage of your weight loss journey. New episodes biweekly. Learn more at ⁠⁠drfeiz.com⁠⁠. Find us on Instagram at ⁠https://www.instagram.com/drfeiz/

    Daha fazlasını göster Daha Az Göster
    20 dk.
  • Busting Bariatric Myths: The Truth About Weight Loss Surgery

    Busting Bariatric Myths: The Truth About Weight Loss Surgery
    14 Jul 2026
    The conversation focused on dispelling common myths and misunderstandings surrounding bariatric surgery. An engaging, honest discussion explored where these myths originate, why they persist, and the real-life challenges faced by patients considering or undergoing weight loss surgery. Key Themes 1. Surgery as the "Easy Way Out" One concept discussed was the misconception that bariatric surgery is an easy solution for weight loss. The discussion explored the emotional and psychological hurdles patients overcome to reach the decision for surgery, emphasizing that it is far from an easy path and requires significant work, motivation, and long-term commitment to lifestyle change 00:00:15, 00:01:19. A key theme that emerged was that the surgery is merely a tool for weight loss success, not a magic fix 00:01:15. 2. Judgement and Stigma Several points were raised, including the judgment patients face from others, who may view surgery as a shortcut, and how this criticism often stems from misunderstandings or personal fears about making similar changes 00:03:43, 00:05:18. The conversation addressed the stigma of obesity, challenging outdated beliefs that being overweight is purely a result of personal failings or gluttony 00:06:18. 3. The Reality of Surgical Risk The discussion explored the common myth that bariatric surgery is highly risky. Instead, it was explained that the risk is low—comparable to a colonoscopy and far less risky than untreated obesity 00:08:35, 00:09:06, with reported complications well below 1% 00:11:05. Comprehensive pre-surgical work-ups and ongoing patient support greatly mitigate risks. 4. Long-Term Success and Commitment Another myth addressed was the notion that surgery leads to inevitable weight regain. Evidence was shared highlighting long-term success rates: 80% at 3 years, 65–75% at 5 years, and above 55% at 10 years 00:12:28. Importantly, most patients do not return to their pre-surgery weight, even if some weight is regained 00:12:54. The success of surgery is tied to ongoing lifestyle changes, behavioral support, and regular follow-up, not a one-and-done approach 00:15:20. 5. Pregnancy and Bariatric Surgery The episode also dispelled myths about the impact of bariatric surgery on pregnancy outcomes. It was emphasized that surgery can improve fertility and pregnancy health, lowering the risk of complications for both mother and child 00:18:10, 00:19:13. Waiting until after pregnancy for surgery is not advised; achieving a healthier weight beforehand supports better outcomes 00:19:17. Highlights Emotional and psychological challenges faced by patients considering surgery 00:01:25 Addressing cultural stigma around obesity and surgery 00:06:07 The reality of surgical safety and statistics on complications 00:09:06 Success is determined by a holistic, ongoing care approach 00:16:12 Bariatric surgery improves outcomes for women planning pregnancy 00:18:35 Takeaways Bariatric surgery is a medically sound, evidence-based tool—not an "easy way out." Obesity is a complex, multifactorial disease, not a personal or moral failing. True long-term success with surgery depends on lifelong lifestyle changes, follow-up, and support. Surgical risk is low and outweighed by the risks associated with remaining obese. Bariatric surgery benefits fertility and pregnancy health; it's generally best to pursue surgery before pregnancy for those planning a family. Subscribe, share, and leave a review if you found this episode helpful! Have questions or topics you want addressed? Send them in—your journey matters! Listen & Subscribe Tune in to "Weight Loss by Design" on your preferred podcast platform. Don't miss future episodes with Dr. Michael Feiz and Dr. Sean Rim as they break down everything you need to know about weight, health, and wellness! Weight Loss By Design with Dr. Michael Feiz and Dr. Sean Rim, leaders in bariatric surgery, here to guide and inspire you through every stage of your weight loss journey. New episodes biweekly. Learn more at ⁠⁠drfeiz.com⁠⁠. Find us on Instagram at ⁠https://www.instagram.com/drfeiz/
    Daha fazlasını göster Daha Az Göster
    21 dk.
  • Semaglutide, Side Effects, and the Real Road to Sustainable Weight Loss

    Semaglutide, Side Effects, and the Real Road to Sustainable Weight Loss
    30 Jun 2026

    In today's episode of Weight Loss By Design, Dr. Michael Feiz and Dr. Sean Rim dive into the real-world experiences and challenges surrounding the popular weight loss medications semaglutide and tirzepatide. Drawing on over 30 years of bariatric medicine experience, the hosts discuss patient outcomes, misconceptions, and the importance of long-term planning in any weight loss journey.

    Key Topics Discussed

    Semaglutide & Tirzepatide – Benefits and Limitations

    Most new patients have tried semaglutide or similar medications before considering surgical options (00:00:41).

    Common side effects include nausea, "sulfur burps", and constipation, which often lead patients to discontinue use (00:01:12).

    Some patients experience only marginal weight loss and quickly plateau (00:01:55).

    Cost and long-term sustainability are major concerns for most patients (00:02:39).

    The Problem of Overprescription

    Many prescriptions are given without addressing underlying behavioral or lifestyle factors (00:06:22).

    Some prescribers lack expertise in the complexities of weight gain and obesity (00:06:22).

    The Pitfall of Viewing Medication as a Quick Fix

    Stopping medication often results in rapid weight regain, causing psychological distress (00:04:30).

    Without addressing cognitive and behavioral factors, lasting change is unlikely (00:10:21).

    Special Populations and Long-Term Concerns

    Questioning the safety of these medications during pregnancy and breastfeeding (00:08:47).

    The average patient uses these medications for only 6-12 months; weight often returns even faster than it was lost (00:12:09).

    Issues such as gastroparesis in rare, but publicized, cases (00:13:46).

    Debunking Media Myths

    Benefits like improved sleep apnea or reduced cancer risk are attributed to weight loss itself—not the medication specifically (00:14:24).

    The concept of "Ozempic face" is no different than changes seen with any significant weight loss (00:17:28).

    Takeaways

    Weight loss medications can be a helpful tool for some, but are not a long-term solution on their own.

    Long-term success requires behavioral modification, nutritional guidance, and a comprehensive care plan.

    Be wary of hype and ensure your provider is experienced and addresses all aspects of your health and weight journey.

    Stay tuned for future discussions including debunking more myths and exploring the physical effects of weight loss.

    Resources & Connect

    Schedule a consultation: drphaze.com

    Subscribe, share, and leave a review if you found this episode helpful!

    Have questions or topics you want addressed? Send them in—your journey matters!

    Listen & Subscribe

    Tune in to "Weight Loss by Design" on your preferred podcast platform. Don't miss future episodes with Dr. Michael Feiz and Dr. Sean Rim as they break down everything you need to know about weight, health, and wellness!

    Weight Loss By Design with Dr. Michael Feiz and Dr. Sean Rim, leaders in bariatric surgery, here to guide and inspire you through every stage of your weight loss journey. New episodes biweekly. Learn more at ⁠⁠drfeiz.com⁠⁠. Find us on Instagram at ⁠https://www.instagram.com/drfeiz/

    Daha fazlasını göster Daha Az Göster
    19 dk.
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