Latest From Our Blog

Regained weight after a gastric sleeve? You aren’t out of options. While the stomach can naturally stretch over time, Endoscopic Sleeve Revision (ESR) offers a non-surgical “reset” button. In this article, Dr. Alexander Shapsis explains how internal suturing can “re-tighten” your original sleeve, restoring the fullness and metabolic control you need to restart your weight loss journey—all without new incisions or long recovery times.

Is the “sleeve” permanent or is there an undo button? While Endoscopic Sleeve Gastroplasty (ESG) is a long-term metabolic tool, many wonder if the sutures can be removed once they reach their goal. Dr. Alexander Shapsis explains the clinical reality of reversing a non-surgical sleeve, the rare medical reasons for doing so, and why your “new normal” matters more than just pulling a thread.

Author: Dr. ShapsisKhrom MedSpa And Weight Loss Doctors Explain Why Combining ESG with GLP-1 Medications Is Changing Medical Weight Loss Endoscopic Sleeve Gastroplasty (ESG) can be combined with GLP-1 weight-loss medications such as semaglutide (Ozempic®, Wegovy®) or tirzepatide (Mounjaro®, Zepbound®) to enhance weight loss and improve long-term metabolic control. ESG reduces stomach volume and helps […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine The gap between “fad diets” and “major procedures” has finally closed. Imagine walking into our Coral Springs clinic on your lunch break, swallowing a capsule the size of a vitamin, and walking out fifteen minutes later with a metabolic reset already in motion. […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine Key Takeaways The Frustration of the “Silent” Scale You’ve done the work. You’ve mastered the weekly injection, you’ve navigated the initial nausea, and the first 20 pounds felt like a miracle. But now, for three weeks straight, the scale hasn’t budged. It’s frustrating. […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine Key Takeaways: The Dangers of Protein Deficiency on Tirzepatide The Protein Crisis: Why Rapid Weight Loss Can Be Risky Tirzepatide (Mounjaro®, Zepbound®) is a powerful tool for weight reduction, but its effectiveness creates a unique nutritional challenge. Because the medication significantly suppresses appetite […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine Key Takeaways: Why Your Gastric Bypass Might Need a “Tune-Up” Weight Regain After Gastric Bypass: Understanding the Dilated Gastrojejunal Outlet For many patients, the Roux-en-Y Gastric Bypass is initially a miracle. However, years later, many find the scale creeping back up. The most […]

Author: Dr. Aleksandr Shapsis, MD For patients in the state of Florida living with a BMI over 60, weight loss is often a medical necessity to prevent life-threatening complications. While the Orbera® Gastric Balloon is typically indicated for BMI 30–40, Khrom MedSpa And Weight Loss and Dr. Alexander Shapsis utilize it as a powerful “bridge” […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine ⭐ Key Takeaways: Is Endoscopic Revision Right for You? Weight Regain After Gastric Sleeve: Why You May Be a Candidate for Revision For many, weight regain after an initially successful bariatric surgery is a source of deep frustration. It is important to understand […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine ⭐ Key Takeaways for Potential Spatz3® Patients The journey to a healthier version of yourself often hits a frustrating wall. You’ve tried the trending diets, the high-intensity workouts, and perhaps even weight-loss medications, yet the scale remains stubborn. In the past, the only […]