Is there an optimal BMI I should reach before having endoscopic sleeve gastroplasty?

At my practice, we typically recommend the Mini Sleeve for patients with a BMI of 25-35, as it offers superior results compared to ESG. The Mini Sleeve provides longer-lasting weight loss, less downtime, and minimal discomfort, all at the same cost as ESG.
It’s crucial to understand that Endoscopic Sleeve Gastroplasty (ESG) is not a gold-standard procedure for weight loss. It is not covered by insurance because it lacks long-term, proven effectiveness. Unlike ESG, the Mini Sleeve is a true surgical solution that delivers significantly better outcomes.
I strongly advise against seeking weight loss procedures from a gastroenterologist, as their scope is limited to endoscopic options and does not include comprehensive bariatric surgical solutions. Instead, consult with a board-certified bariatric surgeon who is trained in all available options and can provide an honest assessment of what will work best for you.
Dr. Reza Keshavarzi, MDBoard-Certified Bariatric SurgeonMiami VIP Surgery