Solutions

Endoscopic Sleeve Gastroplasy

Endoscopic sleeve gastroplasty (also known as ESG) is an innovative, non-surgical weight loss procedure that can help you lose up to 20% of your body weight. It’s a safe and highly-effective option that rivals traditional bariatric surgery – offering comparable weight loss results without surgery. The endoscopic sleeve gastroplasty procedure reduces the size of your stomach by 70% to 80%, which limits how much you can eat, restricts your calorie intake, and helps you feel full for longer – all resulting in rapid, sustainable weight loss

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ESG-MAX™

ESG-MAX is a revolutionary weight loss treatment that integrates two advanced, non-surgical procedures: ESG and GFMA. This combined approach results in a smaller, sleeve-like stomach and a proven decrease in the hunger hormone ghrelin, leading to accelerated weight loss, reduced appetite, and enhanced weight loss.

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Bariatric revisions

Sleeve Revisions
Sleeve gastrectomy is the most common bariatric surgery, where a surgeon staples the stomach to create a narrow, tube-like shape. Unfortunately, after several years patients may find they can eat larger portions, leading to weight gain.

Gastric Bypass Revisions
With an endoscopic gastric bypass revision we are able to restore the outlet and pouch to their original size, or even smaller, resulting in long-term weight loss. This safe, same-day, incisionless procedure provides a new opportunity to lose weight and to get back on track.

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Endoscopic Gastric Sleeve Revision

Gastric sleeve revision, also known as endoscopic sleeve revision, is a non-surgical procedure that tightens a sleeve gastrectomy. It is a 30-45-minute outpatient procedure that carries an extremely low risk of complications and a very high success rate. Following an endoscopic gastric sleeve revision, our patients generally start feeling full with smaller portions of food again and begin to shed excess weight almost immediately after the procedure.

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Endoscopic Gastric Bypass Revision

Endoscopic Gastric Bypass Revision is an outpatient, non-surgical procedure designed to stop weight regain and jumpstart weight loss after gastric bypass bariatric surgery. The procedure is performed by a highly-trained gastroenterologist who uses advanced techniques to help tighten the surgical pouch and outlet created during the original gastric bypass surgery to their original size – promoting rapid, sustainable weight loss.

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Gastric Balloons

Spatz3
Spatz3 is the only adjustable gastric balloon on the market. Balloon placement is a non-surgical procedure that helps patients jump-start weight loss and keep it off.

Orbera®
Non-surgical procedure that helps patients initiate and maintain long -term weight loss. The procedure places a small silicone balloon into the stomach, which takes up space so you feel full faster and consume smaller portions of food.

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Spatz3 Adjustable Gastric Balloon

Spatz3 is the only adjustable gastric balloon on the market. Balloon placement is a non-surgical procedure that helps patients jump-start weight loss and keep it off. After placing a small silicone balloon into the stomach, patients feel full more quickly and consume smaller portions. In the early stages, the adjustable design can help patients who experience discomfort or balloon intolerance by allowing your provider to remove saline volume. When or if weight loss stalls throughout the balloon placement, the device can be adjusted again with more saline to provide greater fullness and better overall weight loss.

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Orbera® Balloon

The ORBERA® Managed Weight Loss System is a non-surgical procedure that helps patients initiate and maintain long-term weight loss. The procedure places a small silicone balloon into the stomach, which takes up space so you feel full faster and consume smaller portions of food.
ORBERA® works well for moderately overweight individuals who haven’t succeeded with diet and exercise and want to break through weight loss barriers without surgery. ORBERA® is intended for patients aged 21 and above, as authorized by the FDA.

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True You RX

True You Rx is a comprehensive weight loss program that offers medication in combination with dietary support as well as guidance on a regular physical fitness regimen and healthy eating habits. True You Rx begins with an initial medication consultation to review your medical history, discuss your weight loss goals, and determine if this is an appropriate treatment for you, along with an initial nutrition consultation. If approved, you will continue to meet with a nutritionist on a monthly basis, and will receive ongoing medication support. Your prescription will be refilled on a monthly basis at your local pharmacy.

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Gastric Fundus Mucosal Ablation

Gastric Fundus Mucosal Ablation (GFMA) is a novel, groundbreaking procedure pioneered by the medical and research teams at True You Weight Loss.
The procedure involves endoscopic gastric mucosal ablation or application of thermal energy (heat) to the inner lining of the top part of the stomach called the gastric fundus. It is performed by a gastroenterologist using an endoscope, a small tube with a camera, and a light.

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In The News

True You in The News

True You Weight Loss is a leading national authority on medically supervised weight loss and the treatment of obesity. Our triple board-certified physicians are pioneers in the latest research and treatment advances and are called upon frequently by the leading news organizations to offer our expertise, knowledge, perspective, and opinion. Our unique endoscopic procedures and research are routinely featured in the most trusted medical journals and national media outlets.

Georgia Stylist Says Incision-free Weight Loss Procedure Helped Her Lose 50 Pounds

Watch as NewsNation host Nichole Berlie speaks to Dr. McGowan about the current state of anti-obesity medications.

Watch as Dr. McGowan talks about the concerns with compounding pharmacies.

Oprah’s TV Special on Weight Loss Drugs and Obesity: 5 Things to Know

Tracy Morgan Reveals the Surprising Amount of Weight He Actually Gained on Ozempic

Woman says she lost 60 pounds after undergoing experimental weight loss procedure

New weight loss endoscopic procedure could help reduce 'hunger hormone'

Is it safe to take the anti-obesity drug Wegovy long-term? Doctors weigh in

Active Research Projects

Spatz3 Adjustable Balloon Post Approval Study

The Spatz3 Adjustable Balloon System is the world’s first and only adjustable gastric balloon. The Spatz Balloon was approved by the FDA in October 2021, after demonstrating an 84% success rate and 15% average total body weight loss, results that far exceeded every non-adjustable balloon in non-comparative studies.

PUBLICATIONS

Endoscopic Gastric Fundal Mucosal Ablation Induces Weight Loss in Adults With Obesity

Endoscopic Sleeve Gastroplasty Using Mixed-tooth Grasping Forceps as an Alternative to the Tissue Helix

Transoral Outlet Reduction: Expert Tips, Tricks, and Troubleshooting

Dr. Christopher McGowan On What You Need To Know Before You Consider Taking Weight Loss Drugs

Perigastric Abscess as a Delayed Adverse Event in Endoscopic Sleeve Gastroplasty

The Descending Gastric Fundus in Endoscopic Sleeve Gastroplasty: Implications for Procedural Technique and Adverse Events

The Endoscopic Bariatric Patient: Characteristics, Beliefs, and Fears

Outcomes of Concomitant Antiobesity Medication Use with Endoscopic Sleeve Gastroplasty in Clinical US Settings

Safe Continuation of Glucagon-like Peptide 1 Receptor Agonists at Endoscopy: A Case Series of 57 Adults Undergoing Endoscopic Sleeve Gastroplasty.

Endoscopic Sleeve Gastroplasty: the Identification of the Key Procedural Steps Through a Modified Delphi Method

How to Establish an Endoscopic Bariatric Practice

Troubleshooting Intragastric Balloon Removal with Standard Biopsy Forceps

Practice Patterns and Outcomes of Endoscopic Sleeve Gastroplasty Based on Provider Specialty

Outcomes of Endoscopic Sleeve Gastroplasty Following Laparoscopic Adjustable Gastric Band: A Propensity Score-matched Analysis

Endoscopic Revision of One-anastomosis Gastric Bypass (ER-OAGB) for Weight Recurrence: a Case Series of 17 Adults

Transoral Outlet Reduction: Outcomes of Endoscopic Roux-en-Y Gastric Bypass Revision in 284 Patients at a Community Practice.

Endoscopic sleeve gastroplasty as an early tool against obesity: a multicenter international study on an overweight population

Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device

Performance of Endoscopic Sleeve Gastroplasty by Obesity Class in the United States Clinical Setting

Performance Characteristics of Endoscopic Sleeve Gastroplasty in Patients with Prior Intragastric Balloon: Results of a Propensity Score Matched Study

Endoscopic Sleeve Gastroplasty in Class III Obesity: Efficacy, Safety, and Durability Outcomes in 404 Consecutive Patients

Endoscopic Sleeve Gastroplasty Is Feasible, Safe, and Effective in a Non-academic Setting: Short-Term Outcomes from a Community Gastroenterology Practice

Triangle Business Journal (2021 Health Care Heroes Awards Winners)

Naturally Savvy Podcast (Are You Struggling with Weight Gain during COVID?)

Gastrointestinal Endoscopy, “Perigastric abscess as a delayed adverse event in endoscopic sleeve gastroplasty

Obesity Surgery, “Endoscopic Sleeve Gastroplasty Is Feasible, Safe, and Effective in a Non-academic Setting: Short-Term Outcomes from a Community Gastroenterology Practice”

Endoscopic Sleeve Gastroplasty: Suturing the Gastric Fundus Does Not Confer Benefit

MEDIA

Tracy Morgan Reveals the Surprising Amount of Weight He Actually Gained on Ozempic

Oprah’s TV Special on Weight Loss Drugs and Obesity: 5 Things to Know

Zepbound outperforms Ozempic and Wegovy in head-to-head weight loss study

As Zepbound shortage grows, Eli Lilly says no immediate end is in sight

Beyond Ozempic: New GLP-1 drugs promise weight loss and health benefits

FDA approves weight loss drug from Eli Lilly that helped people lose up to 52 pounds

Mounjaro leads to far more weight loss than Ozempic, study finds: What to know about side effects, safety

Foods to avoid if you are taking Ozempic or Wegovy for weight loss

FDA warns against unapproved ‘fat-dissolving’ spa treatments

Drug shortage swells to national emergency, forcing doctors to find new ways to treat patients

Seeing more weight-loss drug ads? Here’s why

Newly FDA- approved weight loss drug Zepbound may be ‘most effective’ ever

Patients stop Wegovy, other weight loss-related drugs shortly after starting, doctors say

Diabetes-related weight loss drugs facing supply issues amid viral trend

Illegal online pharmacies exploit drug shortages

What to know about berberine, the dietary supplement some call ‘nature’s Ozempic’

Wegovy, Ozempic: The barriers to accessing these weight loss drugs

Oprah Winfrey reveals the reason she decided to start using a weight-loss drug

Is Ozempic a ‘magic’ drug? Author who lost 42 pounds on benefits, ‘very real concerns’

WeightWatchers’ stock soars after Sequence deal closes

Endoscopic Ablation Reduces ‘Hunger Hormone,’ Yields Weight Loss in Early Trial

Extended treatment with Mounjaro and Zepbound can help people lose even more weight

Shortages of a ‘game changer’ weight-loss drug are driving people to buy potentially risky knockoff versions

Mounjaro vs. Ozempic: The side effects of the two weight-loss drugs explained by a doctor

Eli Lilly just halved the price of its weight-loss drug — declaring war on the booming market of knock-offs

Wegovy shortage ends: What to know about weight loss with the anti-obesity drug

Is there an Ozempic pill? What to know about the latest weight-loss pill research

New Weight Loss Treatment Burns Off Stomach Lining to Reduce Hunger

Weight loss drug Zepbound approved by FDA: Woman who lost 123 pounds shares story

“Miracle” Diabetes Weight Loss Drugs Are Back In Stock. Should You Try To Get Them?

Contrave vs. Wegovy—Which Is Better for Weight Loss?

Sermorelin for Weight Loss: Does It Work?

Do Weight Loss Patches Work?

Does Phentermine Burn Fat or Just Shrink Your Appetite?

8 benefits of berberine

Pfizer’s twice-daily weight-loss pill pulled from clinical trials due to side effects

9 benefits of weight management

4 ways to save on weight-loss medications

Oprah Winfrey says she uses weight-loss drug ‘as I feel I need it.’ Does that work?

Does metformin help with insulin resistance?

27 healthy fast food items at popular US chains, according to dietitians and doctors

What to know about new weight-loss drug Zepbound and how it compares to Ozempic

Obesity Meds or Bariatric Surgery: Which Is Right for You?

6 mocktails to try this holiday season

20 Key Factors That Contribute To Business Success

Healthier fast-food swaps to make at home

Experimental weight-loss procedure could lower appetite by singeing part of stomach

What’s the Difference Between Ozempic, Wegovy, Mounjaro, and Zepbound?

Weight Loss Methods with Dr. Christopher McGowan

What Exercise Burns the Most Calories? Here’s What Doctors Who Specialize in Obesity Say

Docs Who Lift: Bariatric Surgery Through the Mouth? (ft. Dr. McGowan)

News Nation: Interview with Dr. McGowan

DR MCGOWAN SOT 7-20

Stomach Ablation for Weight Loss

DR CHRIS MCGOWAN 7-13

CHRISTOPHER MCGOWAN 8-25

New non-surgical weight-loss procedure shows promising results

Americans skipping Ozempic over the holidays so they can enjoy more of their meals: report

I lost 60 pounds after a minimally invasive experimental procedure

Lilly slashes prices on two lowest doses

What to know about new minimally invasive weight loss procedure gastric mucosal ablation

Nearly half of online pharmacies selling weight loss drugs are operating illegally, study finds

Raleigh woman helps test experimental procedure to reduce food cravings, add weight loss

Ozempic For Weight Loss: Cost, Side Effects And Efficacy

Can ‘Budget Ozempic’ and ‘Nature’s Ozempic’ Really Help You Lose Weight?

The #1 Most Important Thing to Do if You Want to Avoid Losing Muscle While on Ozempic

How to Reduce Your Risk of Gaining Weight After Stopping Ozempic, Wegovy, or Mounjaro

FDA approval of Eli Lilly’s Zepbound is a win for patients as Ozempic competitors boom

Why Some People Are Claiming Life on Ozempic Is ‘Miserable’

Why Taking Ozempic, Wegovy, or Mounjaro May Cost More Than You Think

Doctor Shares Which Foods to Avoid When Taking Ozempic and Wegovy — and Why Those Foods Can Cause a Bad Reaction

What to know about Zepbound, Eli Lilly’s new weight loss drug

Obesity medications will have some people spending the holidays without an appetite

World Journal of Gastrointestinal Endoscopy, “Endoscopic Sleeve Gastroplasty in Class III Obesity”

Obesity Surgery, “Clinical Response to Endoscopic Sleeve Gastroplasty after Intragastric Balloon Therapy”

Ditch the Diet and Try This Instead

‘It’s a Shift in Mindset’: Cary Doctor Gives Health Advice Ahead of New Year

Rooted in Goodness: Sweet Potato Season is Here

Ways to Melt the “Spare Tire” Strangling Your Middle

Woman Shares Thyroid Cancer Story Following Weight Loss

Pioneering Stomach Stitch Operation Sees Overweight Patients Lose Up to Six Stone in Six Months

‘Honey Boo Boo’ Weight Loss Surgery: ‘Dangers’ Bring No ‘Easy Fix’, Experts Say

Is Weight Loss Surgery Safe for Teens?

Visit NC Farms to Get the Amazing Health Benefits of Blueberries

Triangle Business Journal (2021 Health Care Heroes Awards Winners)

Naturally Savvy Podcast (Are You Struggling with Weight Gain during COVID?)

Gastrointestinal Endoscopy, “Perigastric abscess as a delayed adverse event in endoscopic sleeve gastroplasty

VideoGIE, “The descending gastric fundus in endoscopic sleeve gastroplasty: implications for procedural technique and adverse events

Thieme, “Endoscopic Sleeve Gastroplasty: Suturing the Gastric Fundus Does Not Confer Benefit

Woman Shares Weight Loss Story After ESG Procedure

ABC 11 News (61% Surveyed Said They Had “Undesired Weight Gain” During COVID-19 Pandemic: Study)

CBS 17 (Cary Doctor Sees 200% Spike in Obesity Patients Since Beginning of Pandemic)

Spectrum News 1 (First Weight Loss Medication Approved Since 2014)

Spectrum News 1 (Weight Loss Procedure Sees Big Uptick During Pandemic)

Spectrum News 1 (Weight Loss Procedure Sees Big Uptick During Pandemic)

AP News (Milestone Achieved: 500 Endoscopic Sleeve Gastroplasty Procedures at WakeMed Cary Hospital)

Spectrum News 1 (Obesity Puts COVID-19 Patients at Higher Risk for Complications, Hospitalizations)

WRAL TV (Endoscopic Procedure Costs Less, Offers Faster Recovery)

Midtown Magazine and Cary Living Magazine (New Approaches to Weight Loss in the Triangle)

Obesity Surgery, “Endoscopic Sleeve Gastroplasty Is Feasible, Safe, and Effective in a Non-academic Setting: Short-Term Outcomes from a Community Gastroenterology Practice”

Business Wire (Triangle Doctor Opens True You Weight Loss, First Dedicated Endobariatric Weight Loss Center in the U.S., Offering Surgical Outcomes without Surgery)

Alana ‘Honey Boo Boo’ Thompson Is Considering Weight Loss Surgery — but Should Teens Get it? A Doctor Explains

COME FIND YOURSELF AT TRUE YOU FREEDOM IS WAITING