When GLP-1 Medications Aren't Enough

If you’ve dealt with inadequate weight loss, rising cost, an insurance denial, or side effects, bariatric surgery can offer greater, more durable results than medication alone. And if you’re not ready for surgery, Dr. Siegal prescribes GLP-1 medications too. Either way, a consultation is the right next step.

Sound Familiar?

GLP-1 medications help many patients, but they don’t work for everyone, and they don’t always work forever. If any of this sounds like you, it may be time to talk about what’s next.

Bariatric Surgery: A More Durable Path

Unlike medication, which requires ongoing use to maintain results, bariatric surgery is a one-time procedure designed to produce significant, lasting weight loss, along with real improvement in weight-related conditions like type 2 diabetes, high blood pressure, and sleep apnea. For many patients who’ve hit a wall with GLP-1s, surgery is the durable solution they’ve been looking for.

Recent large-scale research backs this up!

A 2025 study shows bariatric surgery is more cost-effective and leads to greater, more durable weight loss than GLP-1 therapy over two years and beyond.

$11,689 Less

Average total cost with surgery vs. GLP-1 therapy over 2 years

28.3% vs 10.3%

Average total weight loss: surgery vs. GLP-1 therapy

96.0% vs 45.9%

Reached ≥10% sustained weight loss: surgery vs. GLP-1 therapy with BMI>40

Source: Barrett SC, et al. Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists. JAMA Surgery. 2025

  Read the study

Whichever Path Is Right for You, We'll Help You Find It

Dr. Siegal doesn’t just perform bariatric surgery, he also prescribes GLP-1 medications. That means you don’t have to know which path is right before you come in. Every consultation starts with a real, individualized conversation about your health, your goals, and whether medication, surgery, or a combination of both makes the most sense for you.

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