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Endoscopic Sleeve Gastroplasty (ESG) is an incision-free endoscopic procedure that uses internal sutures to reduce stomach volume and support weight loss and metabolic improvement

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Endoscopic revisional procedures Revisional endoscopic techniques can be used for patients who do not lose enough weight or gain it back after surgery or endoscopic procedures

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Your provider should document clinical rationalemetabolic risk level, failed lifestyle interventions, presence of insulin resistancebefore starting GLP-1 therapy for prediabetes