By Grand Health Partners

Weight loss medications like GLP-1 receptor agonists (such as semaglutide or tirzepatide) have transformed the way we approach obesity treatment. These medications, originally developed for type 2 diabetes, have proven highly effective in helping patients lose weight. They suppress appetite, slow down gastric emptying, and help regulate blood sugar levels, resulting in a steady and noticeable reduction in body weight for many people.

At Grand Health Partners, we work with patients who are using weight loss medications, patients who have undergone bariatric surgery, and those who have tried everything but still feel stuck. Over time, we’ve come to recognize a growing group of patients who are now asking an important question:

“I’ve been taking weight loss injections for a while. Should I consider bariatric surgery next?”

This blog is for you if you’ve been using medication, seen some progress, but have plateaued or are worried about long-term success. We’ll walk through the signs that it may be time to consider bariatric surgery, the benefits and risks, and how both approaches can work together for sustained health improvement.

Understanding What GLP-1 Medications Can and Can’t Do

Medications like Wegovy, Ozempic, and Mounjaro are powerful tools. In clinical trials, many patients lose between 10 and 20 percent of their total body weight. But real-world outcomes often vary.

There are a few important facts to consider:

Weight Loss Often Plateaus: Most people hit a point where the medication stops delivering additional results. Even with continued use, their weight stabilizes.

You May Regain Weight if You Stop: Studies show that many people regain weight when they stop the injections. For some, this weight returns quickly.

Not a Cure, But a Tool: GLP-1s help with weight loss, but they do not address the structural and hormonal imbalances that drive obesity long-term.

If you’ve experienced initial weight loss on medication, but your progress has stalled, or you are concerned about how long you can or should stay on injections, you are not alone.

When to Consider Bariatric Surgery

While weight loss injections are a great starting point, bariatric surgery may be the best long-term solution if:

You Still Have a High BMI

If your BMI is still 35 or higher, especially with obesity-related conditions like type 2 diabetes, high blood pressure, or sleep apnea, surgery may provide the metabolic reset that medication cannot fully achieve.

Your Weight Has Plateaued

Many patients experience rapid progress for 6 to 12 months on medication and then hit a plateau. If you’ve made dietary and lifestyle changes, stayed on your medication, and still cannot lose more weight, surgery can help push past that barrier.

You Want Long-Term Results Without Lifelong Medication

Weight loss injections are expensive. Some insurance plans cover them, but many do not. If you are spending hundreds or thousands per month and facing the reality of staying on medication for years, surgery may be more cost-effective and sustainable.

You Are Experiencing Side Effects

Some patients struggle with nausea, fatigue, or gastrointestinal issues on medications. While surgery also carries side effects and risks, many patients feel better and experience more freedom after recovery.

You Are Focused on Long-Term Health, Not Just the Scale

Bariatric surgery has profound effects on health. It improves insulin sensitivity, resolves or reduces diabetes in most patients, improves fertility, reduces cancer risk, and extends life expectancy. It is not just about losing weight; it is about saving your life.

Why Surgery Is Still the Gold Standard

New research has shown that even with GLP-1 medications, bariatric surgery remains more effective in the long run. A large real-world study published in 2025 compared over 50,000 patients who had either surgery or took GLP-1 medications. The results were striking: surgery patients lost more weight and kept it off longer than those on medication alone.

That does not mean medication has no role. In fact, many patients use both. Some begin with injections to prepare for surgery. Others use medication after surgery to help maintain weight or address small regains.

At Grand Health Partners, we call this a comprehensive obesity treatment plan, that hits on multiple facets for optimal success. It takes into account your biology, your habits, your goals, and your personal journey.

What Bariatric Surgery Options Are Available?

There are several types of bariatric surgery. The most common include:

• Sleeve Gastrectomy: Removes about 80% of the stomach, reducing appetite and hormone signals that drive hunger.
  
• Gastric Bypass: Reroutes a portion of the digestive system, reducing calorie absorption and hunger hormones.
  
• Duodenal Switch and Variations: Combines both restriction and malabsorption, often used for higher BMIs.
  

Each surgery has different benefits, risks, and expected outcomes. Our team will walk you through your options and recommend the best fit for your situation.

Combining GLP-1 Medications and Bariatric Surgery

This is not an either-or conversation. Many of our most successful patients combine both approaches at different stages of their journey.

• Before Surgery: Medication can help reduce surgical risk by lowering weight and improving blood sugar control.
  
• After Surgery: Some patients benefit from continued or resumed medication to help control appetite, especially during maintenance phases.
  

There is no shame in using every tool available to you. Obesity is a chronic disease. It deserves a comprehensive and strategic plan.

Making the Decision

If you are wondering whether it is time to consider surgery, ask yourself:

• Am I happy with my weight loss progress?
  
• Do I want a permanent solution rather than a lifelong prescription?
  
• Is my health improving, or am I still battling related conditions?
  
• Can I realistically afford the long-term cost of injections?
  
• Am I committed to making lasting changes?
  

If you answered “no” to any of these questions, it might be time to schedule a bariatric consultation.

What to Expect at Your Consultation

At Grand Health Partners, we take the time to understand your full story. During your consultation, we will:

• Review your weight history, medical background, and current medications
  
• Discuss your goals and motivations
  
• Explore surgical options and answer your questions
  
• Conduct necessary testing to ensure surgery is safe for you
  
• Offer support from dietitians, behavioral health experts, and your surgical team
  

This is not a rushed appointment. It is a chance to take back control over your health.

You Deserve to Succeed

Choosing bariatric surgery after using weight loss injections is not a failure. It is a powerful next step in a journey that requires courage, commitment, and support. If you’ve done the hard work, changed your eating habits, committed to your health, and still feel like you need help, surgery could be the solution that brings everything together.

At Grand Health Partners, we are here to guide you every step of the way.

Reach out to schedule your consultation today. Let’s build a plan that works for you—not just for today, but for the rest of your life.

 By Grand Health Partners

For anyone who has tried to lose weight and keep it off, the process can feel like an uphill battle. You might eat less, exercise more, and still find that the weight won’t budge—or that it comes back quickly even after initial success. This frustrating experience is often rooted in a biological mechanism called the metabolic set point.

Understanding the metabolic set point is essential for anyone struggling with long-term weight loss. At Grand Health Partners, we often talk with patients who feel like their bodies are “stuck” at a certain weight, no matter what they do. It’s not just willpower or lifestyle choices that dictate weight. Your biology plays a powerful role—and for many, bariatric surgery offers the best opportunity to reset that internal thermostat and finally achieve sustainable results.

In this post, we’ll explain what the metabolic set point is, how it affects your ability to lose weight, and how bariatric surgery can help shift it in your favor.

What Is the Metabolic Set Point?

The metabolic set point refers to the weight range your body naturally wants to maintain. It’s like a thermostat in your brain that regulates your body fat and weight. This internal setting is managed by the hypothalamus, a part of the brain that influences hormones, hunger signals, and metabolic rate.

When your body weight drops below the set point, your brain responds by slowing down your metabolism, increasing hunger, and conserving energy. When your weight rises above the set point, your metabolism speeds up slightly and appetite may decrease—but usually not enough to lead to meaningful weight loss. This is why it’s often much easier to gain weight than to lose it.

Many researchers believe the set point is determined by a combination of factors, including:

• Genetics
  
• Early life environment and nutrition
  
• Hormonal balance
  
• Gut microbiota
  
• Long-term eating patterns
  

In people who are overweight or obese, the set point may be chronically elevated, meaning the body is defending a higher weight as if it were normal or even optimal.

Why Is It So Hard to Change?

One of the biggest challenges in long-term weight loss is that your body fights against weight reduction. If you’ve ever hit a plateau after dieting or noticed intense cravings when cutting calories, this is your set point at work.

Here’s what typically happens:

• You start a diet and reduce your calorie intake.
  
• Your body senses a calorie deficit and interprets it as a potential threat (like famine).
  
• It lowers your resting metabolic rate, so you burn fewer calories at rest.
  
• Hormones like ghrelin (the hunger hormone) rise, while leptin (the fullness hormone) falls.
  
• You become hungrier and less satisfied after meals.
  
• Eventually, your willpower is overwhelmed by biological pressure, and you return to old eating habits.
  
• The weight comes back—sometimes even more than before.
  

This cycle is not a reflection of failure. It’s a built-in survival mechanism. Your body is trying to protect what it perceives as its “ideal” weight, even if that weight is far from healthy.

How Does Bariatric Surgery Change the Equation?

While traditional diets often fail in the long run due to the body’s resistance to weight loss, bariatric surgery offers a more powerful and lasting solution. One of the most important benefits—beyond reducing stomach size or limiting calorie intake—is the impact on the metabolic set point.

Here’s how bariatric surgery helps reset your body’s weight regulation system:

Hormonal Changes

After procedures like gastric sleeve or gastric bypass, patients experience significant shifts in hormones that control hunger and satiety. Levels of ghrelin, which stimulates appetite, often decrease dramatically. Meanwhile, hormones that promote feelings of fullness—such as GLP-1 and PYY—increase.

This hormonal shift makes it easier to eat less without feeling deprived. More importantly, it helps silence the intense biological drive to regain lost weight.

Improved Insulin Sensitivity

Obesity is closely linked to insulin resistance, which disrupts energy storage and appetite control. Bariatric surgery can lead to rapid improvements in insulin sensitivity, often within days of the procedure—even before significant weight loss occurs.

Better insulin regulation supports more stable blood sugar levels, reduces cravings, and promotes fat burning over fat storage.

Altered Gut Microbiome

Emerging research suggests that the gut microbiome—the trillions of bacteria living in your digestive tract—plays a critical role in weight regulation. Bariatric surgery has been shown to reshape the microbiome in a way that favors improved metabolism and reduced inflammation.

These changes may contribute to a lower set point and better long-term weight control.

Reduced Inflammation

Chronic inflammation can interfere with metabolism and weight loss. By reducing visceral fat and improving metabolic function, bariatric surgery helps decrease systemic inflammation, which supports a healthier body weight.

Resetting the “Defended” Weight

Perhaps the most important effect of bariatric surgery is its ability to lower the defended weight. After surgery, the brain begins to accept a lower body weight as the new normal. This means the biological resistance to weight loss is diminished. Patients aren’t fighting hunger and fatigue every step of the way. Instead, they often feel satisfied with smaller meals, have more energy, and experience fewer food cravings.

Why “Willpower” Isn’t Enough

It’s common to assume that weight loss is a matter of discipline and self-control. But the science behind the metabolic set point tells a different story. Your body is not a simple calculator that balances calories in and out. It’s an adaptive system that works hard to preserve its internal balance—sometimes at your expense.

That’s why bariatric surgery can be life-changing. It goes beyond calorie restriction. It fundamentally alters the physiological systems that make weight loss difficult in the first place.

What Does This Mean for You?

If you’ve struggled with obesity for years, tried every diet, and watched the weight return despite your best efforts, it may be time to consider a different path. At Grand Health Partners, we understand that weight loss is not just about eating less. It’s about resetting the systems that govern how your body uses energy, processes food, and regulates fat storage.

Our team of board-certified bariatric surgeons works closely with each patient to determine the best surgical option based on individual health history, goals, and lifestyle. We provide comprehensive support before, during, and after surgery to help you build sustainable habits and maintain your progress for life.

How Can Grand Health Partners Help Reset the Metabolic Set Point?

The metabolic set point is not destiny—but it is powerful. For many people, especially those who have been overweight or obese for years, the body is defending a higher weight range than is healthy. Diet and exercise can certainly help, but they are often not enough to override the body’s built-in defenses.

Bariatric surgery offers a proven way to reset your body’s weight regulation system, reduce hunger, improve metabolism, and establish a healthier set point. It’s not a quick fix—but it is a long-term solution supported by decades of research and success stories.

If you’re ready to stop fighting your biology and start working with it, we’re here to help.

Interested in learning more about how bariatric surgery can help you reset your metabolic set point? Contact Grand Health Partners today to request a consultation with our experienced team.

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 By Dr. Randal Baker, Grand Health Partners

This past week, I came across a heartbreaking story that serves as a critical reminder of why our Gastroesophageal Reflux Clinic — also known as our Heartburn Clinic — exists. Brennan Elliot, a Hallmark actor, recently shared the devastating news that his wife, Camille Row, passed away at just 45 years old following a battle with gastric cancer.

What struck me most about this story was not only the tragedy of losing someone so young, but the details of Camille’s journey — and how eerily familiar it sounds to what we see in many of our patients.

According to the article, Camille was first diagnosed with stage 1 stomach cancer back in 2018. That diagnosis came after she had endured two years of persistent reflux pain that never fully went away. She ultimately underwent an endoscopy — a procedure we perform regularly at our clinic — which revealed the early-stage cancer.

Sadly, her condition later progressed to stage 4. Camille made it her mission to raise awareness, becoming an advocate for other gastric cancer patients. Her story is powerful, and it’s a wake-up call that I hope will inspire others to take their reflux symptoms seriously.

Chronic Heartburn and the Risk of Gastric Cancer

Many people still think of heartburn as a minor inconvenience — something that can be brushed off with over-the-counter medications or chalked up to a spicy meal. But the reality is far more serious. Chronic heartburn and reflux (also known as GERD, or Gastroesophageal Reflux Disease) can significantly increase the risk of gastric and esophageal cancers over time.

The longer reflux goes unaddressed, the greater the damage to the esophagus and stomach lining. And unfortunately, we’re seeing a sharp rise in these kinds of diagnoses — often in younger individuals — many of whom delayed seeking care or relied solely on acid-reducing medications for years without further investigation.

The Problem with “Managing It Yourself”

One of the most common trends we see is patients self-treating their symptoms with acid blockers like omeprazole or famotidine. While these medications can temporarily relieve symptoms, they’re not a cure — and they certainly don’t replace proper evaluation.

In fact, using these medications for too long without medical oversight can mask symptoms and delay the detection of more serious conditions like Barrett’s esophagus or even early-stage cancer. In Camille’s case, it wasn’t until she pushed for an endoscopy that her cancer was detected — and by then, it had already taken hold.

When Should You Be Concerned?

If you’re experiencing any of the following symptoms on a regular basis, it’s time to be evaluated by a specialist:

• Burning sensation in the chest or throat (especially after eating)
  
• Chronic cough, sore throat, or hoarseness
  
• Regurgitation of food or sour liquid
  
• Difficulty swallowing
  
• Unexplained weight loss
  
• Ongoing need for acid-reducing medication
  
• Bloating or abdominal discomfort that doesn’t go away
  

Even if these symptoms seem manageable, don’t wait. Reflux is a sign that something isn’t functioning properly — and ignoring it could lead to long-term complications.

We’re Here to Help — No Referral Needed

At Grand Health Partners, we take reflux seriously. That’s why we’ve built a dedicated Heartburn Clinic designed specifically for evaluating and treating chronic GERD, acid reflux, and their complications.

We offer a full range of diagnostics, including endoscopy, pH testing, and imaging, and we work with each patient to create a personalized treatment plan. For some, lifestyle changes and medication are enough. For others, surgical treatment may provide long-lasting relief and help prevent disease progression.

Our goal is early detection — because catching problems early, as in Camille’s initial stage 1 diagnosis, gives patients the best chance at recovery and long-term health.

Be Your Own Advocate — and Let Us Be Yours Too

Camille Row’s story is a painful reminder of what’s at stake when reflux goes unchecked. But it’s also a testament to the power of advocacy — for yourself and for others.

If you’ve been living with chronic heartburn, don’t ignore it. And if you’ve been relying on medications without a diagnosis, it’s time to dig deeper.

You don’t have to do this alone. We’re here to help you find answers, relieve your symptoms, and protect your long-term health.

Schedule a consultation today with our Heartburn Clinic at Grand Health Partners.
Because when it comes to your health, early action can save your life.

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Authored by Grand Health Partners

If you’ve been watching the news or searching for surgical care in Michigan, you may have come across recent reports about anesthesia staffing shortages affecting surgical schedules in some health systems. These shortages have caused delays in elective procedures and created understandable concern among patients who are ready to take the next step in their health journey.

At Grand Health Partners, we want to reassure you: we are not experiencing an anesthesia shortage, and we are able to schedule bariatric surgery within 90 days for most patients.

We recognize how important it is to move forward with your health goals once you’ve made the decision to pursue bariatric surgery. Delays can be disheartening, especially when you’ve already completed months of preparation, consultations, and insurance requirements. That’s why we’ve worked diligently with our partner hospitals and care teams to ensure that our patients continue to have timely access to life-changing surgical care—without unnecessary wait times.

What’s Causing Surgical Delays in 2025?

Across the country, healthcare systems are navigating staffing shortages, particularly in key areas like anesthesia services. Factors contributing to these challenges include:

• Workforce retirements
  
• Burnout from the COVID-19 pandemic
  
• Regional recruitment difficulties
  

In some regions, these challenges have led to surgical postponements, including for elective and medically necessary procedures such as bariatric surgery. While this has understandably created concern, it’s important to remember that the impact varies by provider and location.

Grand Health Partners is Fully Staffed and Fully Operational

Despite these broader trends, Grand Health Partners continues to operate without delay. Thanks to our strong partnerships with local hospitals and anesthesia providers, we have not been impacted by the staffing shortages affecting other systems. This means that we are able to maintain our commitment to timely, patient-centered care.

For patients considering bariatric surgery, that translates into:

• Surgery within 90 days for most patients following their initial consultation
  
• No scheduling backlogs due to anesthesia staffing
  
• Seamless coordination with hospital partners for surgical care
  

Our team works closely with hospital leadership, surgical staff, and anesthesia groups to ensure that every patient receives safe, high-quality care on a timely schedule.

Why Timely Bariatric Surgery Matters

Bariatric surgery is not simply a cosmetic procedure. It is a proven medical intervention for the treatment of obesity and a wide range of related health conditions. Delaying surgery can mean more than just pushing back a date—it can impact your overall health and well-being.

Conditions commonly improved or resolved after bariatric surgery include:

• Type 2 diabetes
  
• High blood pressure
  
• Sleep apnea
  
• Joint pain and mobility challenges
  
• Fatty liver disease
  
• Heart disease risk
  

When patients face extended wait times for surgery, they may also face a decline in physical or emotional health. That’s why our team at Grand Health Partners is committed to minimizing delays and helping you begin your transformation as soon as you’re ready.

What Sets Grand Health Partners Apart

Our ability to maintain timely surgical care is the result of careful planning, coordination, and a patient-first approach. Here’s how we make it happen:

Strong Hospital Partnerships

We partner with reputable hospitals that share our standards for quality care, safety, and efficiency. These relationships allow us to reserve operating room availability and coordinate schedules to ensure our patients stay on track.

Reliable Anesthesia Coverage

We work with experienced anesthesia teams who understand the unique needs of bariatric surgery. These providers are committed to supporting our surgical schedule and ensuring patient safety throughout the perioperative experience.

Streamlined Patient Journey

From the moment you begin your journey with Grand Health Partners, our clinical coordinators, dietitians, and support staff work together to help you meet every requirement and get surgery scheduled as efficiently as possible.

Personalized Support

Whether you’re going through insurance approval or choosing to self-pay, our team walks you through each step—from medical clearances to nutritional counseling to surgery prep—so you never feel like you’re navigating it alone.

What to Expect: Your Timeline to Surgery

Patients often ask how long it takes from the first consultation to the operating room. At Grand Health Partners, we’ve built a system that allows most patients to move through the process in 90 days or less, depending on insurance and medical requirements.

Here’s a look at what the process typically involves:

Initial Consultation

Meet with one of our board-certified bariatric surgeons to determine which procedure is right for you and begin mapping out your personalized treatment plan.

Medical Clearances

Complete any necessary labs, cardiac testing, and psychological assessments to ensure you’re medically ready for surgery.

Insurance Approval or Financial Planning

Our insurance specialists help you navigate prior authorizations, or we’ll walk you through affordable self-pay options if you’re paying out-of-pocket.

Pre-Op Education

Attend our required education session where you’ll learn what to expect before, during, and after surgery—including important lifestyle changes.

Surgery Within 90 Days

Once cleared and approved, you’ll be scheduled for surgery at one of our trusted hospital partners. No anesthesia delays, no months-long backlog.

Post-Op Follow-Up

You’ll have regular check-ins with your care team, including nutrition and behavioral health, to ensure lasting success.

The Bottom Line

Anesthesia shortages may be making headlines in Michigan and across the country—but they are not impacting patient care at Grand Health Partners. Our patients continue to receive safe, timely access to bariatric surgery with no delays related to staffing.

If you’ve been told you need to wait months for surgery, or if you’re just beginning to explore your options, we encourage you to schedule a consultation. You don’t have to wait endlessly for the care you need. At Grand Health Partners, we’re ready when you are.

Let’s Get Started

If you’re ready to take control of your health and start your weight loss journey, we’re here to help. Contact us today to schedule a consultation or learn more about our program. You could be just 90 days away from a healthier, more energized you.

Request a consultation to get started.

At Grand Health Partners, we are committed to empowering individuals with evidence-based strategies to enhance their health and well-being. A recent systematic review and meta-analysis published in the International Journal of Gynecology and Obstetrics underscores the significant impact of intentional weight loss—achieved through lifestyle interventions or bariatric surgery—in reducing the risk of endometrial cancer among obese women.

Understanding the Link Between Obesity and Endometrial Cancer

Endometrial cancer, the most common gynecologic malignancy in developed countries, has a well-established association with obesity. Excess adipose tissue can lead to increased estrogen levels and chronic inflammation, both of which contribute to the development of endometrial cancer. Addressing obesity is, therefore, a critical component in reducing the incidence of this disease.

Key Findings from the Study

The study analyzed data from over 8.9 million women, comparing those who underwent intentional weight loss with those who did not. The results were compelling.

• 44% Reduction in Risk: Women who achieved weight loss through lifestyle changes or bariatric surgery experienced a 44% decrease in the risk of developing endometrial cancer.
  
• Bariatric Surgery’s Impact: Among the weight loss methods, bariatric surgery demonstrated a particularly strong protective effect, with an odds ratio of 0.46, indicating a 54% reduction in risk.
  

These findings highlight the importance of intentional weight loss as a preventive measure against endometrial cancer.

The Role of Bariatric Surgery

Bariatric surgery encompasses various procedures designed to aid in significant weight loss by altering the digestive system. Common types include gastric bypass, sleeve gastrectomy, and adjustable gastric banding. These surgeries not only facilitate weight loss but also lead to hormonal changes that can positively affect metabolic health.

The study’s findings suggest that bariatric surgery may offer a substantial protective effect against endometrial cancer, potentially due to the significant and sustained weight loss it facilitates. However, it’s essential to consider that surgery is typically recommended for individuals with a body mass index (BMI) of 40 or higher, or 35 or higher with obesity-related health conditions.

Implications for Women’s Health

The association between intentional weight loss and reduced endometrial cancer risk underscores the importance of weight management in women’s health. Healthcare providers should consider incorporating weight loss strategies into preventive care discussions, particularly for women at higher risk due to obesity.

By addressing weight management proactively, it’s possible to not only reduce the risk of endometrial cancer but also improve overall health outcomes, including reducing the risk of other obesity-related conditions such as type 2 diabetes, cardiovascular disease, and certain other cancers.

The recent study provides compelling evidence that intentional weight loss, achieved through either bariatric surgery or lifestyle interventions, can significantly reduce the risk of endometrial cancer in obese women. At Grand Health Partners, we advocate for personalized approaches to weight management, recognizing that both surgical and non-surgical methods can be effective depending on individual circumstances.

If you’re considering weight loss strategies to improve your health and reduce cancer risk, we encourage you to consult with healthcare professionals to determine the most appropriate approach for your needs.

Source: Medical Dialogues

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Is Weight Loss Surgery Covered by Insurance?

By Grand Health Partners

If you’ve been struggling with obesity and its related health conditions, weight loss surgery may be a life-changing option. But as you begin exploring this path, a crucial question often comes up: Is weight loss surgery covered by insurance? The answer is not always straightforward. Coverage can vary significantly based on your insurance provider, the specific procedure, your medical history, and where you live.

At Grand Health Partners, we understand how confusing and overwhelming this process can be. That’s why we’ve created this comprehensive guide to help you understand how insurance works with bariatric surgery, what’s typically required for approval, and what to do if your insurance doesn’t cover it.

Why Insurance Coverage Varies

Weight loss surgery is often considered a medically necessary procedure rather than cosmetic. However, not all insurance plans cover it, and those that do usually have strict requirements. The key factors influencing coverage include:

• Your insurance provider and plan type
  
• The specific bariatric procedure you’re seeking
  
• Your body mass index (BMI)
  
• Presence of obesity-related health conditions
  
• Your medical history and previous weight loss efforts
  

Many major insurance companies like Blue Cross Blue Shield, UnitedHealthcare, Aetna, and Cigna do offer bariatric coverage through certain plans, but each one has its own guidelines and criteria.

Common Weight Loss Surgeries Insurance May Cover

Not all bariatric procedures are covered equally. The most commonly covered surgeries include:

• Gastric Sleeve (Sleeve Gastrectomy): Often covered when other criteria are met
  
• Gastric Bypass (Roux-en-Y): Frequently approved for patients with severe obesity or related conditions
  
• Duodenal Switch: Typically reserved for patients with a very high BMI or complicated health conditions
  

Newer or experimental procedures may not be covered, and insurance companies may categorize them as “investigational.”

Requirements for Insurance Approval

To be approved for bariatric surgery, most insurance providers will require several steps. At Grand Health Partners, we help guide patients through each of these requirements:

Documented Medical Necessity

You must typically demonstrate that your obesity presents a serious risk to your health. This usually means having:

• A BMI over 40, or
  
• A BMI over 35 with at least one obesity-related condition, such as type 2 diabetes, sleep apnea, hypertension, or joint pain
  

Supervised Weight Loss Attempts

Many insurers require documentation of past attempts to lose weight under medical supervision. This often includes:

• A 6 to 12-month medically supervised weight loss program
  
• Records of diet and exercise plans
  
• Notes from your primary care provider or a nutritionist
  

Psychological Evaluation

To ensure that you’re mentally and emotionally prepared for the lifestyle changes following surgery, a mental health evaluation is usually required. This helps identify potential issues such as eating disorders or untreated mental health conditions that could impact long-term success.

Nutritional Counseling

Patients must typically complete a series of preoperative nutrition classes or visits with a registered dietitian. These visits educate patients on post-op eating habits, portion sizes, and necessary nutritional supplements.

Preoperative Testing

Depending on your health status, you may need to undergo blood tests, sleep studies, cardiac evaluations, or other assessments to ensure you are a good candidate for surgery.

How to Find Out If Your Insurance Covers Bariatric Surgery

The best way to determine your coverage is to contact your insurance provider directly. Ask questions like:

• Does my plan cover bariatric surgery?
  
• Which types of surgery are covered?
  
• What are the specific requirements for approval?
  
• Do I need to choose a surgeon from a specific network?
  
• Is prior authorization required?
  

If you’re unsure what to ask, Grand Health Partners can help you navigate these conversations and even verify your insurance benefits for you.

What If Insurance Doesn’t Cover It?

If your insurance denies coverage or your plan does not include bariatric benefits, you still have options. Many of our patients at Grand Health Partners explore self-pay alternatives or financing plans. Here are a few possibilities:

• Self-Pay Packages: Some bariatric centers offer discounted rates for patients paying out-of-pocket. These often include pre-op visits, the surgery itself, and follow-up care.
  
• Financing Programs: Healthcare lenders like CareCredit, Prosper, or LendingClub offer financing for medical procedures with low or no-interest plans.
  
• Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA): You may be able to use these tax-advantaged accounts to cover some or all of the costs.
  

Appeals and Denials

If your insurance denies your request for bariatric surgery, you have the right to appeal. A denial can occur for various reasons, such as missing documentation or not meeting BMI criteria. At Grand Health Partners, we assist patients with the appeal process by helping collect the necessary paperwork, writing support letters, and communicating with insurance representatives on your behalf.

Appeals can take several weeks or months, so persistence and proper documentation are critical.

Tips for a Smooth Insurance Process

• Start early: It can take several months to meet all pre-surgery requirements.
  
• Keep detailed records: Track your weight, medications, and visits with doctors and dietitians.
  
• Follow all steps exactly: Insurance companies have strict timelines and criteria, so compliance is essential.
  
• Work with an experienced team: At Grand Health Partners, we have insurance specialists who are well-versed in bariatric coverage and can guide you through every step.
  

So, is weight loss surgery covered by insurance? For many people, the answer is yes—but only if you meet certain medical criteria and complete the necessary steps. The process can feel intimidating, but you don’t have to do it alone. At Grand Health Partners, our team is here to help you understand your options, verify your benefits, and support you from your first consultation to long-term follow-up care.

Whether you’re just beginning to explore bariatric surgery or are ready to take the next step, we’re here to answer your questions and help you succeed.

Ready to find out if your insurance covers weight loss surgery?
Request a consultation at Grand Health Partners today! 

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By Grand Health Partners

If you’ve been working hard on your weight loss journey and have seen progress, it can be discouraging when the scale suddenly stops moving. This common experience is known as a “weight loss stall.” While it’s completely normal, it can leave you feeling frustrated and unsure of your next steps. At Grand Health Partners in Grand Rapids, we want to reassure you that a stall is not a sign of failure—it’s simply your body’s way of signaling that it’s time for adjustments. In this blog, we’ll explore why weight loss stalls happen, how to recognize them, and practical strategies to get back on track.

Why Do Weight Loss Stalls Happen?

Weight loss doesn’t follow a straight, predictable path. Your body is constantly adapting to changes in your eating patterns, physical activity, and metabolism. In the early stages of weight loss, it’s common to see rapid results, especially after making significant dietary changes or undergoing bariatric surgery. Over time, however, your metabolism naturally slows down to match your smaller body size and lower calorie needs.

Several factors can contribute to a weight loss stall:

• Metabolic Adaptation: As you lose weight, your body burns fewer calories to maintain its new weight, making it harder to maintain the same rate of weight loss.
  
• Water Retention: Your body may hold onto water due to hormone fluctuations, increased sodium intake, or inflammation from exercise, temporarily masking fat loss.
  
• Muscle Gain: If you’ve incorporated strength training, you may be building lean muscle mass. Since muscle is denser than fat, the scale might not budge even though your body composition is improving.
  
• Untracked Calories: Small bites, extra condiments, or liquid calories can sneak into your diet without you realizing it, reducing your calorie deficit.
  

Understanding these factors can help you approach a stall with patience and perspective rather than discouragement.

How to Know If You’re Experiencing a Weight Loss Stall

A true weight loss stall is typically defined as two to four weeks without any weight loss, despite consistently sticking to your plan. It’s important to distinguish between a stall and normal daily weight fluctuations, which can be influenced by hydration, hormones, or salt intake.

Track your weight over several weeks. If you notice no downward trend at all despite staying committed, it may be time to adjust your approach.

What to Do When You Hit a Weight Loss Stall

Recalculate Your Calorie Needs

As your weight decreases, your body needs fewer calories to function. What worked when you started may not be enough of a deficit now. Use a calorie calculator or speak with your provider to determine your updated needs. A food tracking app can help ensure you’re logging meals and snacks accurately.

Increase Your Protein Intake

Protein is essential for preserving muscle mass during weight loss. Aim for 60 to 80 grams of protein daily, or more if recommended by your healthcare team at Grand Health Partners. Higher protein intake can also help you feel fuller and slightly boost metabolism through the thermic effect of food. Visit store.grandhealthpartners.com for a ton of protein packed options! 

Celebrate Non-Scale Victories

Progress isn’t just measured on the scale. Take body measurements, notice how your clothes fit, and track improvements in strength or endurance. At Grand Health Partners in Grand Rapids, we encourage patients to focus on these “non-scale victories” to stay motivated.

Mix Up Your Workouts

If you’ve been sticking to the same exercise routine, your body may have adapted. Consider adding strength training if you’ve focused mostly on cardio. Building more muscle increases your resting metabolic rate, allowing you to burn more calories even at rest. Already strength training? Try adding new movements, increasing intensity, or incorporating interval training to challenge your body.

Watch for Sneaky Calories

Be mindful of high-calorie beverages, sauces, or cooking oils that may not be included in your food logs. Keeping a detailed food diary for a few days can help you identify hidden sources of calories that could be contributing to the stall.

Prioritize Sleep and Stress Management

Poor sleep and high stress can disrupt hormones that regulate hunger and metabolism. Aim for seven to eight hours of quality sleep each night, and explore stress management techniques like meditation, deep breathing, or hobbies that help you relax.

Stay Hydrated

Drinking enough water supports digestion, appetite control, and metabolism. Sometimes thirst is mistaken for hunger. Try to drink at least 64 ounces of water per day, or more if advised by your healthcare provider. We recommend adding electrolytes throughout the day to change things up. Find fun water additives here: https://store.grandhealthpartners.com/ 

Be Patient and Stay the Course

It’s important to remember that a weight loss stall doesn’t mean your efforts aren’t working. Often, your body just needs time to recalibrate. Stay consistent with your healthy habits and trust the process.

When to Seek Professional Help

If your stall continues despite making adjustments, or if you’re unsure about your nutrition or exercise plan, it’s a good idea to seek professional guidance. At Grand Health Partners in Grand Rapids, our experienced team is here to support you. We can assess your progress, review your current approach, and recommend personalized strategies to help you move forward.

Looking at the Big Picture

Weight loss stalls are a normal and expected part of the journey. Instead of seeing them as setbacks, view them as opportunities to reevaluate and fine-tune your plan. Whether you’ve had bariatric surgery or are losing weight through lifestyle changes, lasting weight loss takes time and patience.

At Grand Health Partners in Grand Rapids, we’re committed to helping you achieve sustainable success with your weight loss goals. If you’re experiencing a stall and would like expert support, contact us today to request a consultation. Our team is here to guide you every step of the way with compassionate, individualized care.

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Written by Grand Health Partners

At Grand Health Partners, we know that deciding to undergo bariatric surgery is not something most people take lightly. It’s a life-altering choice that requires education, preparation, and a long-term commitment to lifestyle changes. While many people are aware that bariatric surgery can lead to dramatic weight loss, there is much more to the story. In fact, some of the most meaningful benefits are often overlooked, and many misconceptions continue to circulate.

Whether you’re just starting your weight loss journey or researching surgical options, here are five things you probably didn’t know about bariatric surgery.

Bariatric Surgery Treats More Than Obesity

One of the most powerful truths about bariatric surgery is that it does more than help patients lose weight. Obesity is often tied to a number of serious health conditions, and for many individuals, weight loss alone is not enough to reverse these complications. Bariatric surgery has been shown to significantly improve, and in some cases completely resolve, several obesity-related diseases.

Some of the most common conditions positively affected by surgery include:

• Type 2 diabetes: Many patients experience remission shortly after surgery, often before any major weight loss occurs. This is due to changes in gut hormones that impact insulin sensitivity and glucose regulation.
  
• Sleep apnea: By reducing excess body weight, many patients are able to discontinue CPAP therapy and experience restorative sleep again.
  
• Hypertension: Blood pressure often improves as the body loses weight and the cardiovascular system experiences less strain.
  
• Joint pain: The burden of excess weight on the knees, hips, and back can be debilitating. Significant weight loss often reduces chronic pain and improves mobility.
  
• GERD (gastroesophageal reflux disease): Certain bariatric procedures such as gastric bypass are particularly effective in reducing or eliminating reflux symptoms.
  

At Grand Health Partners, we work closely with our patients’ primary care providers and specialists to create a comprehensive care plan that improves their whole-body health, not just the number on the scale.

It’s Not a “Last Resort” — It’s a Proven Medical Treatment

Bariatric surgery is sometimes misunderstood as a last-ditch effort for people who “failed” at dieting. In reality, it is a well-established medical treatment for a chronic condition. Obesity is not simply the result of poor willpower or bad habits. It is a complex disease influenced by genetics, environment, hormonal imbalances, and emotional factors.

Surgery is not a shortcut. It is a powerful tool that can reset your metabolic pathways, improve your body’s ability to regulate hunger, and help you build a sustainable, healthier life. Long-term studies have shown that bariatric surgery is more effective than diet and exercise alone in treating severe obesity and improving survival.

The American Society for Metabolic and Bariatric Surgery, the American Diabetes Association, and even the National Institutes of Health recognize bariatric surgery as the gold standard for treating obesity with long-term effectiveness.

There Are Multiple Types of Bariatric Surgery

Most people think of bariatric surgery as a one-size-fits-all procedure, but there are several different types, each with its own set of advantages and considerations. At Grand Health Partners, we believe in personalized care. That means helping you choose the procedure that aligns with your goals, health conditions, and lifestyle.

Here are some of the most common surgical options we offer:

• Sleeve Gastrectomy (Gastric Sleeve): This procedure removes a large portion of the stomach, reducing its size and impacting hunger hormones. It does not involve intestinal rerouting and is a popular choice for many patients.
  
• Roux-en-Y Gastric Bypass: This involves creating a small pouch at the top of the stomach and connecting it to a section of the small intestine. It not only limits food intake but also reduces calorie and nutrient absorption, making it especially effective for treating diabetes and GERD.
  
• Duodenal Switch (SADI-S): A more complex procedure that combines restriction and significant malabsorption, typically used for patients with a very high BMI or severe metabolic conditions.
  

Each surgery has its own risks and benefits, and our team takes the time to walk each patient through what to expect, both short-term and long-term.

Your Gut Hormones Change After Surgery — and That’s a Good Thing

One of the lesser-known but most fascinating aspects of bariatric surgery is its effect on the gut-brain connection. After surgery, the levels of key hormones like ghrelin (which stimulates hunger), GLP-1, and PYY (which promote feelings of fullness) shift significantly. These hormonal changes lead to reduced hunger, increased satiety, improved blood sugar control, and even improved mood and energy.

These hormonal effects are part of why so many patients experience benefits beyond what simple calorie restriction could offer. You may find that your cravings decrease, your appetite becomes easier to manage, and you feel full with much less food. Many patients even report changes in taste preferences, often favoring healthier, less processed foods.

Long-Term Success Depends on Support and Follow-Up

The surgery itself is just one step in the journey. Long-term success depends on the support system in place before and after the procedure. That’s why Grand Health Partners provides comprehensive care that includes nutritional counseling, behavioral support, follow-up appointments, and access to support groups.

We believe that education, accountability, and community are critical to helping you maintain your results and thrive. From registered dietitians to mental health providers and exercise specialists, our team is here to walk with you every step of the way.

In addition to in-person resources, we also offer digital tools and telehealth appointments to make ongoing support accessible and convenient.

It’s About Gaining Health, Not Just Losing Weight

Bariatric surgery is about reclaiming your health, extending your life, and improving your daily quality of living. It’s not just about dropping pounds; it’s about gaining energy, confidence, mobility, and freedom from chronic disease.

At Grand Health Partners, we’ve helped thousands of patients navigate this journey with compassion, expertise, and personalized care. If you’re considering bariatric surgery or want to learn more about your options, we invite you to request a consultation. Our team is ready to help you explore the possibilities and take the next step toward a healthier future.

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By Dr. Randal Baker, Grand Health Partners

This past week, I came across a heartbreaking story that serves as a critical reminder of why our Gastroesophageal Reflux Clinic — also known as our Heartburn Clinic — exists. Brennan Elliot, a Hallmark actor, recently shared the devastating news that his wife, Camille Row, passed away at just 45 years old following a battle with gastric cancer.

What struck me most about this story was not only the tragedy of losing someone so young, but the details of Camille’s journey — and how eerily familiar it sounds to what we see in many of our patients.

According to the article, Camille was first diagnosed with stage 1 stomach cancer back in 2018. That diagnosis came after she had endured two years of persistent reflux pain that never fully went away. She ultimately underwent an endoscopy — a procedure we perform regularly at our clinic — which revealed the early-stage cancer.

Sadly, her condition later progressed to stage 4. Camille made it her mission to raise awareness, becoming an advocate for other gastric cancer patients. Her story is powerful, and it’s a wake-up call that I hope will inspire others to take their reflux symptoms seriously.

Chronic Heartburn and the Risk of Gastric Cancer

Many people still think of heartburn as a minor inconvenience — something that can be brushed off with over-the-counter medications or chalked up to a spicy meal. But the reality is far more serious. Chronic heartburn and reflux (also known as GERD, or Gastroesophageal Reflux Disease) can significantly increase the risk of gastric and esophageal cancers over time.

The longer reflux goes unaddressed, the greater the damage to the esophagus and stomach lining. And unfortunately, we’re seeing a sharp rise in these kinds of diagnoses — often in younger individuals — many of whom delayed seeking care or relied solely on acid-reducing medications for years without further investigation.

The Problem with “Managing It Yourself”

One of the most common trends we see is patients self-treating their symptoms with acid blockers like omeprazole or famotidine. While these medications can temporarily relieve symptoms, they’re not a cure — and they certainly don’t replace proper evaluation.

In fact, using these medications for too long without medical oversight can mask symptoms and delay the detection of more serious conditions like Barrett’s esophagus or even early-stage cancer. In Camille’s case, it wasn’t until she pushed for an endoscopy that her cancer was detected — and by then, it had already taken hold.

When Should You Be Concerned?

If you’re experiencing any of the following symptoms on a regular basis, it’s time to be evaluated by a specialist:

• Burning sensation in the chest or throat (especially after eating)
  
• Chronic cough, sore throat, or hoarseness
  
• Regurgitation of food or sour liquid
  
• Difficulty swallowing
  
• Unexplained weight loss
  
• Ongoing need for acid-reducing medication
  
• Bloating or abdominal discomfort that doesn’t go away
  

Even if these symptoms seem manageable, don’t wait. Reflux is a sign that something isn’t functioning properly — and ignoring it could lead to long-term complications.

We’re Here to Help — No Referral Needed

At Grand Health Partners, we take reflux seriously. That’s why we’ve built a dedicated Heartburn Clinic designed specifically for evaluating and treating chronic GERD, acid reflux, and their complications.

We offer a full range of diagnostics, including endoscopy, pH testing, and imaging, and we work with each patient to create a personalized treatment plan. For some, lifestyle changes and medication are enough. For others, surgical treatment may provide long-lasting relief and help prevent disease progression.

Our goal is early detection — because catching problems early, as in Camille’s initial stage 1 diagnosis, gives patients the best chance at recovery and long-term health.

Be Your Own Advocate — and Let Us Be Yours Too

Camille Row’s story is a painful reminder of what’s at stake when reflux goes unchecked. But it’s also a testament to the power of advocacy — for yourself and for others.

If you’ve been living with chronic heartburn, don’t ignore it. And if you’ve been relying on medications without a diagnosis, it’s time to dig deeper.

You don’t have to do this alone. We’re here to help you find answers, relieve your symptoms, and protect your long-term health.

Schedule a consultation today with our Heartburn Clinic at Grand Health Partners.
Because when it comes to your health, early action can save your life.

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