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Endoscopic Sleeve Gastroplasty

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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Our Blog

Empowering Your Weight Management Journey

Our blog is here to be your go-to resource for understanding the latest in weight loss treatments, from endoscopic sleeve gastroplasty (ESG) to gastric balloons and metabolic health strategies. We break down the science, share real patient experiences, and provide expert-backed advice to help you make informed choices about your health.

Weight management isn’t one-size-fits-all, and you are more than just a number on the scale. Our goal is to empower you with knowledge, whether you’re looking for long-term lifestyle changes, exploring non-surgical weight loss procedures, or just trying to understand your options. With expert insights, practical tips, and inspiring success stories, True You Weight Loss’s blog is designed to give you the tools and confidence to take control of your weight management journey.

Learn more about Endoscopic Sleeve Gastroplasty (ESG)

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.

DDW 2025 Blog IMG

Endoscopic Sleeve Gastroplasy

True You Weight Loss Doctor, Dr. Christopher McGowan, Presents at Digestive Disease Week for the Second Consecutive Year

Digestive Disease Week (DDW) 2025 was hosted at the San Diego Convention Center in San Diego, CA from May 3-6. This year, DDW hosted over 13,000 researchers, clinicians, and industry

vegetables, scale, weights

Endoscopic Sleeve Gastroplasy

Taking Care of Yourself After ESG

Endoscopic sleeve gastroplasty (ESG) is a safe and highly effective non-surgical, minimally invasive weight loss treatment option for any patient who has struggled to lose weight with diet and exercise

bag of vegetables

Endoscopic Sleeve Gastroplasy

What Will My Diet Look Like After ESG?

Commitment to diet and exercise changes is essential to long-term success after any weight loss procedure, including non-surgical, minimally invasive options like endoscopic sleeve gastroplasty (ESG). After an ESG procedure,

apple and tape measurement

Endoscopic Sleeve Gastroplasy

Navigating Your Diet Post-Endoscopic Sleeve Gastroplasty

Weight loss following endoscopic sleeve gastroplasty (ESG) requires a thoughtful approach to nutrition. Making improvements to your diet helps to maximize the benefits of your procedure, support your overall health,

mirror fat

Endoscopic Sleeve Gastroplasy

Exploring Non-Surgical Weight Loss Procedures

Losing weight can be hard, and billions of dollars are spent every year by Americans trying to shed unwanted pounds. Fad diets, expensive exercise equipment, and unused gym memberships are

esg procedure

Endoscopic Sleeve Gastroplasy

Can Endoscopic Sleeve Gastroplasty Be Reversed?

Understanding Endoscopic Sleeve Gastroplasty (ESG) Endoscopic sleeve gastroplasty (ESG) is emerging as the safest and most effective alternative to traditional bariatric surgery. It offers a non-surgical weight loss solution without

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