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Feb 23, 2018 · Video Q&A about Endoscopic Sleeve Gastroplasty (ESG): What it is and What it does in Non-Surgical Weight Management Program

Drs. Barham Abu Dayyeh and Andres Acosta, Gastroenterology and Hepatology, talk about the endoscopic sleeve gastroplasty (ESG) procedure performed at Mayo Clinic as a non-surgical intervention for weight loss.

Endoscopic Sleeve Gastroplasty (ESG): What it is and What it does



Dec 26, 2017 · Why is it so difficult to lose weight? A Facebook Live with Dr. Andres Acosta in Non-Surgical Weight Management Program

Dr. Andres Acosta talks about why losing weight can be so difficult and options available to help overcome weight loss barriers including genetic and biological factors that affect weight loss and non-surgical and wellness options to help patients overcome weight loss barriers.


Facebook Live Discussion with Dr. Andres Acosta

Dr. Andres Acosta


Oct 13, 2017 · How to break the busy cycle in Non-Surgical Weight Management Program

We know long term weight management involves deliberate attention to healthy behaviors like food choices, being active and managing stress. An important part of Mayo Clinic’s Non-Surgical Weight Management program is helping our patients address what’s holding them back from healthier habits in these areas. Take a look at this article from our partner, Mayo Clinic’s Healthy Living Program, about breaking the cycle of being too busy.

 mss_0001596928 How to break the busy cycle

Take a step back and examine why you’re so busy. Then embrace the value of doing nothing. Use these tips for learning how to press pause this week.

You’re busy, right? And if you’re not, what’s your problem? In today’s ramped-up world, it’s become a badge of honor to be busy. When you return to work on Monday morning, it can sometimes feel like a competition to see who did the most over the weekend and talk about how little time you had to rest. If you say you weren’t busy, you might be judged as lazy or incompetent.

Because of this pressure to be busy, some of us have forgotten how to simply “be.” Downtime, however, is vitally important for your physical, psychological and spiritual well-being. Taking time to rest and relax, with no plans and no particular goals, can help reduce stress and bring a sense of calm and control. When you allow yourself to pause, you refresh your body and recharge your mind, which gives you more energy.

4 questions to ask that will help break the busy cycle

Instead of asking yourself to do more, ask these four questions to help yourself slow down.

  1. Ask yourself why you’re so busy.

There are probably a lot of reasons. Does it make you feel important? (You might think, “No one else can do this but me!”) Does it give you a sense of pride to attend your children’s activities? Do you help others because it feels good to help and to feel needed? Perhaps staying busy distracts you from your thoughts and feelings, such as painful memories or fear of the unknown. Or perhaps you just enjoy being busy — it fills your bucket.

Sometimes your schedule is in your control, and sometimes it’s not. However, thoughts and behaviors often are automatic. By becoming more aware of why you do what you do, you empower yourself to decide if this is really how you want to spend your time.

  1. Ask yourself what downtime means to you.

Downtime means something a bit different for all of us. For you, it could be taking a nap, spending time in nature, listening to music or reading to your child. Think about what feeds your soul, energizes you or brings a sense of calm, even if only for a while. Perhaps downtime is simply time that you set aside just for you.

Another form of downtime is to practice mindfulness. Pay attention to your surroundings, using all of your senses. If you’re outdoors on a spring day, smell the crisp air, feel the breeze blowing, really see the flowers and trees, notice the new green grass sprouting through the brown, and hear the birds chirping in the distance. When you pay attention in this way, it anchors you to the present moment, so you’re not focused on your worries or your to-do list.

  1. Ask yourself to say no.

This is easier for some people than for others. Is there one thing you would rather not do this week that you can take off your list without significant consequences? If so, imagine what it would feel like to say no to this task and then do it. Be careful not to recommit to something else. Do something for yourself instead.

  1. Ask yourself what means the most to you.

List all of your tasks for the week and put them into two columns. In one, list the things you must do, such as going to work, taking your kids to school or paying bills. In the other column, write down the things that you are choosing to do, such as going out to dinner with friends or shopping for new clothes.

For each task, write a bit about why you do it. Expand your thinking beyond, “Because I have to” or “Because I like to shop for clothes.” Look for a deeper meaning. For example, “I go to work because I like helping people. I take my son to basketball practice because he loves it and it makes him happy, which in turn makes me happy. I shop for clothes because I feel good about myself and have more confidence when I am wearing something new.”

If you have trouble finding the meaning in something you’re doing and you can choose not to do it, consider taking it off your list. Then take that time to replenish your reserves, so you’ll have more resilience for the times when you can’t avoid being too busy.


  1. Take five minutes and just breathe. Deep breathing through your abdomen eases anxiety and increases alertness.
  2. Take a nap. Keep it to 20 to 30 minutes. If a nap isn’t possible, go to bed 15 to 30 minutes earlier.
  3. Take a 15-minute break to be outdoors and enjoy the beauty of nature.



Sep 1, 2017 · 10,000 steps a day: Too low? Too high? in Non-Surgical Weight Management Program

What makes our program unique is that it combines non-invasive weight loss procedures with a health and wellness program. This often includes helping patients increase their physical activity, and for many, that starts by incorporating more walking into their day.

Enjoy this article from Mayo Clinic’s Healthy Living Program, our partner whose staff work with program participants to make the lifestyle changes needed for long-term success share tips and information for increasing daily activity through walking.


10,000 steps a day: Too low? Too high?

Work up to a goal of walking 10,000 steps each day, depending on your starting fitness level, for numerous health benefits.

You’ve just gotten a new activity tracker and you’re ready to aim for 10,000 steps a day. But is that an appropriate goal for you? It all depends on your present fitness level and what you want to accomplish.

The average American walks 3,000 to 4,000 steps a day, or roughly 1.5 to 2 miles. It’s a good idea to find out how many steps a day you walk now, as your own baseline. Then you can work up toward the goal of 10,000 steps by aiming to add 1,000 extra steps a day every two weeks.

If you’re already walking more than 10,000 steps a day, or if you’re fairly active and trying to lose weight, you’ll probably want to set your daily step goal higher.

Benefits of walking

Why set a daily step goal? Walking is a form of exercise that’s available to most people. You don’t need any special equipment other than some supportive walking shoes. And there’s no need for an expensive membership at a fitness center.

Yet walking for regular activity can help reduce your risk of these common health problems:

  • Heart disease
  • Obesity
  • Diabetes
  • High blood pressure
  • Depression

Some activity is better than no activity

The U.S. Department of Health and Human Services recommends 150 minutes a week of moderate-intensity exercise, such as brisk walking. But you don’t have to jump feet-first into the 150-minute goal. Start where you are and gradually increase your activity week by week.

Those 150 minutes a week can be divided in many different ways. Some people aim for 30 minutes of exercise five days a week. Others fit in 10 minutes of exercise several times a day.

If your walking pace isn’t speedy enough to qualify as moderate-intensity exercise, those steps still help prevent the problems that can occur from sitting too much during the day. Adding any regular activity to your routine is beneficial.

How to include more steps in your day

Once you’ve determined your goals, try these ideas for fitting more walking into your routine:

  • Take the dog for a walk. If you don’t have a dog, volunteer to walk dogs at an animal shelter. Or combine your activity with social time by joining a friend to walk his or her dog.
  • Try music. A bouncy tune or something with a strong beat can make activity more enjoyable and help motivate you to walk farther or faster.
  • Include the family. Instead of an afternoon movie, go for a walk or hike together.
  • Go in person. Instead of sending a work email, walk to your colleague’s desk.
  • Walk while waiting. Take a walk instead of sitting when you’re early for an appointment or waiting for a flight.
  • Schedule workday walks. Put reminders in your calendar for short walking breaks to ramp up your energy throughout the day. Have a one-on-one meeting? Plan to walk and talk.
  • Park farther away. Choose parking spots farther away from the entrance. If you take the bus, get off a stop early and walk the rest of the way.
  • Take the stairs. Even going down the stairs counts as steps and burns calories.

How far will you go today? Your goal will depend on your starting point. But nearly everyone can reap the benefits of walking more, step by step.

Article content provided by wellness experts from the Mayo Clinic Healthy Living Program

Jul 18, 2017 · Video Q&A about Non-Surgical Weight Management Program in Non-Surgical Weight Management Program

Join Dr. Barham Abu Dayyeh, Dr. Andres Acosta and wellness coach Sara Link on Monday, August 14 at 3 p.m. CT for an interactive discussion about Mayo Clinic’s Non-Surgical Weight Management Program. You can view the video on Mayo Clinic’s Facebook page.

Jun 19, 2017 · What is an intragastric balloon? in Non-Surgical Weight Management Program

Balloon PhotoThe endoscopic intragastric balloon is an FDA-approved, non-surgical weight loss procedure that works by placing a saline-filled silicone balloon into the stomach, making an individual feel full while fasting. In this video, Mayo Clinic’s weight loss specialists explain the intragastric balloon procedure as well as the 12-month lifestyle intervention program that supplements it.

You can learn more about the procedure from the non-surgical weight management team in this video:


Jun 12, 2017 · What can I do to get the best results from an endoscopic weight loss procedure? in Non-Surgical Weight Management Program

Wellness CoachEndoscopic weight loss procedures can be incredibly helpful in assisting with a patient’s weight loss journey. However, our research and experience at Mayo Clinic has shown that in order to see the long-term benefits of these interventions, it is incredibly important that patients are also committed to a healthier lifestyle. This includes ensuring you are eating a healthy diet, exercising regularly and managing your stress.

Making these change can be difficult, especially for individuals who have long struggled with their weight. That is why the support of dieticians, wellness coaches, psychologists, endocrinologists and others can be incredibly helpful following a weight loss procedures. These experts can help patients make the changes needed to ensure long-term success.

Because we know how important it is for patients to have these resources, our Non-Surgical Weight Loss Program at Mayo Clinic actually incorporates this team into every patient’s experience. Each patient who receives an endoscopic weight loss procedure also:

  • Has a wellness coach available for a full year
  • Meets with endocrinologists and psychologists in addition to the gastroenterologists performing their procedure and psychologists
  • Spends two full days at the Mayo Clinic Healthy Living Program for interactive learning sessions and individual meetings with their wellness coach and dietician

We are the first in the nation to combine the procedures and wellness support into one program. We are monitoring patient results closely and hope that this is a break-through in how patients who opt to have weight loss procedures are supported to ensure their success.

Jun 3, 2017 · What is endoscopic sleeve gastroplasty? in Non-Surgical Weight Management Program

Sleeve ProcedureEndoscopic sleeve gastroplasty is non-surgical weight loss procedure that works by decreasing the size of the stomach, limiting the amount of food an individual can eat. In this video, Mayo Clinic’s weight loss specialists explain the endoscopic sleeve gastroplasty procedure as well as the 12-month lifestyle intervention program that supplements it.

Learn more from our non-surgical weight management program team in this video: