Lisa Rivera lost 50 pounds -- and it's stayed off -- after having endoscopic sleeve gastroplasty, just one of many new options for those looking to lose weight. What works and what doesn't?
Although the FDA has approved five medications for weight loss, they don’t work for everyone, and side effects, such as higher blood pressure and nervousness, can make them not work for some people.
But each option has downsides -- costs are high and often not covered by insurance, and possible side effects can range from bothersome to serious.Among the newer options is the endoscopic sleeve gastroplasty, which Rivera had. It’s also sometimes called accordion procedure. It’s recommended for people with a BMI of 30 or higher.
In the 5-year study, Sharaiha found that patients were likely to get to their lowest weight 2 years after the ESG was performed.10,000 to $15,000, without insurance, says Christopher Thompson, MD, director of endoscopy at Brigham & Women's Hospital and an associate professor of medicine at Harvard Medical School.The FDA has approved three intragastric balloons since 2015: ReShape, Orbera and Obalon.
In studies evaluating more than 300 patients, 66% of them had at least a 5% decline in total body weight, compared to 30% of those in the control group, the FDA says. On average, people who got the device lost 9.3% of their body weight, while the control group lost less than 3%. Gelesis, which makes Plenity, plans to launch the product this year, says Stephanie Simon, a spokesperson, and it’s expected to be widely available by 2020. No details have been released yet about its cost. There is no time limit put on the use of Plenity, and she says"its strong safety profile makes it ideally suited for long-term use."
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