Mt. Clemens Metabolic & Bariatric Surgery Procedures
It’s tough to lose weight when food and exercise no longer give you the results you want. For individuals living with obesity, metabolic and bariatric surgery is a medically supported way to lose weight for good and improve health.
That care is offered close to home for patients in Mt. Clemens and the surrounding Detroit area at Physique by Pesta. Physique by Pesta is a weight loss program designed around you and your health goals.
Why Weight Loss Surgery Could Be the Right Move for You

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For some people, weight loss is not just a matter of eating less and moving more. Obesity is a complicated disorder resulting from an interplay of biochemical, hormonal, genetic, and environmental factors. The body can defend itself against persistent weight loss. This is why so many people regain weight following traditional dieting. The National Institutes of Health quote research showing a large percentage of lost weight is regained within the first year, with most regained within several years.
Metabolic and bariatric surgeries don’t address obesity the same way. In addition to shrinking the stomach or affecting the movement of food through the digestive system, bariatric surgery can also affect hormones that control appetite and fullness. The hormonal changes in ghrelin, GLP-1, and PYY can alter hunger and satiety, which can help when it comes to reducing calorie intake.
Obesity already affects hundreds of millions of individuals worldwide, and the numbers continue to rise. Metabolic surgery is not only a cosmetic procedure, but can be an important medical treatment for appropriate candidates.
Bariatric Surgery Procedures We Perform at Physique by Pesta
There is no one weight-loss procedure that works best for everyone. Physique by Pesta offers different treatment options to suit each unique individual.
Endoscopic Gastric Sleeve
Endoscopic sleeve gastroplasty (ESG) is a minimally invasive treatment done through the mouth rather than via regular abdominal incisions. An endoscopic suturing tool passes down the esophagus to reach the stomach, where small stitches are placed to reshape the stomach.
In July 2022, the Apollo ESG System was awarded De Novo authorization by the FDA. The surgery typically lasts 60 to 90 minutes. It usually takes a week before most individuals can return to work, but it can take a month for the stomach to heal completely.
Gastric Balloon
Another non-surgical approach is the intragastric balloon. The temporary device takes up space in the stomach and can help patients feel fuller on smaller servings. It is meant to stay there for a short time and then be taken out. Several gastric balloon systems have been approved by the FDA as weight management devices.
Medically Managed Weight Loss
Some patients may do better with systematic medical weight loss management than with a procedure. This may include diet, exercise coaching, and medical coaching with a focus on healthy habits.
GLP-1 Medicines
GLP-1 drugs help you feel full, so you’re naturally inclined to eat less. These might be suitable for some people who are not candidates for surgery or who would prefer drug treatment.
Metabolic Health and Surgical Weight Loss
Bariatric surgery has benefits other than weight loss. The procedure can also reduce your risk for type 2 diabetes, hypertension, and high cholesterol. Metabolic and bariatric surgery has been linked with higher rates of antihypertensive drug discontinuation and a lower risk of incident apparent treatment-resistant hypertension compared with similar individuals undergoing medical care alone.
Obesity is also linked to renal problems like obesity-related glomerulopathy, a disorder that can result in progressive kidney damage. Studies have shown that metabolic and bariatric surgery may enhance kidney health.
This is why knowing the whole metabolic profile of a patient is important. Physique by Pesta starts treatment with an assessment, not a one-size-fits-all recommendation.
What to Expect from the Weight Loss Journey with Physique by Pesta
The process begins with a detailed consultation. Therapy is based on your health history, current condition, goals, and lifestyle. Physique by Pesta takes a tailored approach, adjusting therapy regimens to the demands of each patient.
Depending on the patient’s needs, care may include surgical, medicinal, nutritional, behavioral, and other specialists. Patients are walked through the proposed treatment, predicted recovery, and costs.
Quality treatment doesn’t finish at the end of your surgery journey. Important components of successful long-term weight management include nutrition, activity, and behavioral changes. Follow-up care allows the medical team to assess development and handle any issues that arise.
Dr. Pesta has more than 20 years of surgical expertise and has been board certified since 2003. He is also a faculty member with the McLaren Macomb General Surgery Residency Program where he helps train future surgeons.
Life After Bariatric Surgery and Body Transformation
Major weight reduction can change much more than the numbers on the scale. Patients may have more mobility, increased confidence, and more comfort. Severe weight loss may also leave patients with loose or extra skin.
If you reach a stable weight and still need additional body sculpting, Physique by Pesta offers both weight-loss and cosmetic surgery therapies under one roof. Options can include operations aimed at the abdomen, arms, thighs, or breasts. Body sculpting is often considered six to 12 months after weight stabilization.
Meet Dr. Carl Pesta, Mt. Clemens, Trusted Bariatric Surgeon
Choosing a bariatric surgeon is a big decision. Dr. Carl Pesta is a board-certified surgeon with more than twenty years’ experience and skill in general and bariatric surgery. He is a Fellow of the American College of Osteopathic Surgeons and is on the faculty in surgical education.
Begin Your Surgical Weight Loss Journey Today in Mt. Clemens
Whether you are considering endoscopic sleeve gastroplasty, a gastric balloon, medically supervised weight loss, GLP-1 medication, or any other metabolic treatment, Physique by Pesta has several solutions available under the supervision of an expert surgical team. Start your weight loss journey with a personal consultation now.
