When GLP-1s Fall Short: A Minimally Invasive Option
Morning Medical with Dr. Chow
A daily update covering the latest medical & health news from around the world using artificial intelligence. Doctor Chi-Ming Chow is a family physician, general internist, and cardiologist. He is also a Professor of Medicine at the University of Toronto.
Chi-Ming Chow
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When GLP-1s Fall Short: A Minimally Invasive Option

E521 • Oct 26, 2026 • 14 mins

What options remain when weight-loss medications stop working? Dr. Chow examines how Dana Bichler lost more than 80 pounds after endoscopic sleeve gastroplasty, including the difficult recovery and lifestyle adjustment. Also covered: declining alcohol use among Catholics and Emily Dawson’s journey from brain tumor surgery to healthcare leadership.

Key Points

  • Endoscopic sleeve gastroplasty can offer a minimally invasive option for people who do not get lasting results from GLP 1 medications and need a more durable approach to weight loss.
  • Alcohol use appears to be declining in the United States, but the health risks of drinking remain important and falling consumption does not necessarily mean alcohol related harm is decreasing.
  • A new Canadian two step robotic and catheter based procedure for atrial fibrillation may improve outcomes for patients who have not responded well to standard treatments.
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Chi-Ming Chow

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