Care for weight loss has changed dramatically in just a few years. New medications, minimally invasive procedures, improved surgical techniques, and a deeper understanding of the biology of obesity have transformed treatment—and patient expectations. Yet with so much noise in the media, many patients still feel confused, hesitant, or unsure where to start.
In our newest video, UTMB Health bariatric surgeon Dr. Sarah Samreen and obesity medicine specialist Dr. Andrea Stark sit down for an open, candid conversation about what's new, what's misunderstood, and what patients need to know right now. Below is a recap of some of the most important insights they shared.
Obesity Is a Chronic Disease—Not a Personal Failure
Both physicians emphasize something the medical community now knows clearly: obesity is driven by complex hormonal, genetic, and metabolic factors, not simply “calories in, calories out.” Dr. Stark notes that key hormones such as leptin were only discovered in the 1990s—meaning our understanding of obesity is still evolving, but evolving fast.
This shift is critical because it helps reduce stigma. As Dr. Samreen puts it:
“We don’t shame patients for seeking care for diabetes or heart disease—yet we still shame people seeking treatment for obesity.”
Modern Bariatric Surgery Is Safe, Standardized, and Highly Effective
Many prospective patients are surprised to learn how far bariatric surgery has come. Dr. Samreen explains that UTMB Health is a nationally accredited Center of Excellence, meeting the highest standards set by the American College of Surgeons.
Key points she highlights:
- Less than 1% major complication rate
- One-night hospital stay
- Robotic and minimally invasive procedures
- Outcomes comparable to common surgeries like gallbladder removal
She stresses that outdated perceptions—open surgeries, longer recovery times, higher risks—simply don’t reflect today’s reality.
When to Consider Surgery vs. Medication
Dr. Stark walks through how she helps patients determine the right path:
- She looks at BMI, health conditions, personal goals, and expected weight-loss outcomes of each treatment.
- If medications or lifestyle changes alone can’t safely get a patient to their health goals, she refers them to Dr. Samreen.
- Patients with type 2 diabetes especially benefit from surgery, which is often the most effective long-term treatment for diabetes remission.
Both physicians emphasize that the right treatment varies—and the beauty of UTMB’s program is that patients don’t have to choose blindly.
A Whole-Team Approach: The Power of Multidisciplinary Care
One of the strongest messages from both physicians is that no single treatment works in isolation.
UTMB’s program includes:
- Bariatric surgeons
- Obesity medicine physicians
- Registered dietitians
- Counselors
- Physical therapists
- Body composition and metabolism testing
- Long-term follow-up for lasting success
This cohesive, connected model helps prevent a major risk in weight-loss care: loss of muscle mass, which can undermine long-term metabolic health. UTMB monitors muscle and fat composition continuously—something not always available through online or non-accredited programs.
New Advances: Endoscopic Procedures and Evolving Medications
The conversation also dives into exciting new options:
Endoscopic Bariatric Procedures
Incisionless, performed through the mouth, with lower cost and faster recovery. Ideal for patients with moderate obesity or those who can’t tolerate long-term medications.
New Medication Developments
Dr. Stark discusses:
- New FDA-approved oral GLP-1 medications
- Reduced cash-pay pricing for several anti-obesity medications
- Anticipated Medicare coverage improvements
- The growing role of medications in treating weight regain after surgery
Both experts agree: we are in a breakthrough era for obesity care.
The Bottom Line: You Don’t Have to Navigate This Alone
Patients often delay care because of fear, stigma, or confusion about where to start. Dr. Stark sums it up perfectly:
“Whatever their path—surgery, medication, or both—we just want to help our patients be healthy.”
This video is the first of many conversations between Dr. Samreen and Dr. Stark as they work to educate, empower, and support patients throughout Texas and beyond.
Watch the full conversation to learn more—and take the first step toward understanding your best options for long-term health.