Latest From Our Blog

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 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 […]

By Dr. Alexander Shapsis, MD, Board-Certified Specialist in Gastroenterology and Obesity Medicine ⭐ Key Takeaways How to Reduce 40% Body Fat Safely: Medical and Lifestyle Approaches Body fat is crucial for energy storage, insulation, and protecting vital organs. However, when the proportion of fat to lean mass becomes excessive, it turns from a necessity into […]

By Dr. Alexander Shapsis, MD – Endoscopic & Medical Weight Loss Specialist Key Takeaway: 🟢 GLP-1 and GLP-1/GIP medications such as Semaglutide (Wegovy®, Ozempic®) and Tirzepatide (Mounjaro®, Zepbound™) are among the most studied and safest modern weight-loss therapies when monitored by a qualified medical professional. 🟢 Most side effects are mild and temporary — and […]

🟢 Endoscopic Sleeve Revision (ESR) helps patients who previously had a gastric sleeve or gastric bypass but are experiencing weight regain by tightening the stretched stomach and restoring fullness. 🟢 Minimally invasive, no incisions: Quick recovery, low risk, and most patients return to normal activity within a few days. 🟢 Real results: Smaller portions, improved […]