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Overweight
At GastroDoxs in Houston, Dr. Scott offers personalized, evidence-based care for adults struggling with overweight (BMI 25-29.9). Through dietary guidance, lifestyle modifications, FDA-approved medications, and minimally invasive procedures like endoscopic sleeve gastroplasty, we empower you to achieve sustainable weight outcomes.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Does It Mean to Be Overweight?
Being overweight means having a body weight that is higher than what is considered healthy for a given height, often measured by body mass index (BMI). A BMI between 25 and 29.9 falls in the overweight range. This condition can increase the risk of developing several health problems, including high blood pressure, type 2 diabetes, heart disease, joint pain, and sleep apnea. Causes can include poor diet, physical inactivity, genetic factors, medications, and hormonal imbalances. Management includes lifestyle changes such as a balanced diet, increased physical activity, behavioral counseling, and in some cases, medical or surgical interventions guided by a healthcare provider.
Common Causes and Risk Factors
Unhealthy eating patterns high in sugars, fats, and processed foods
Sedentary lifestyle-prolonged sitting at work or home
Genetic predisposition or family history of weight gain
Use of certain medications (antidepressants, steroids)
Poor sleep quality and chronic stress
Signs and Symptoms
Steady weight gain over months or years
Persistent tiredness or low energy
Shortness of breath during light activity
Aches or pain in the knees, hips, or lower back
Clothing feeling tighter around the waist and hips
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews your BMI and weight history, eating habits, sleep and stress patterns, and asks detailed questions about your epigastric pain-its onset, location, triggers, and what relieves it.
Laboratory Tests
We draw blood to check thyroid-stimulating hormone (TSH), fasting glucose, lipid panel and to screen for H. pylori infection or other causes of inflammation.
Imaging and Endoscopy
Abdominal ultrasound evaluates the gallbladder, pancreas and fatty changes in the liver.
Upper endoscopy (EGD) visualizes the esophagus, stomach and duodenum to rule out gastritis, ulcers or reflux damage.
Functional Studies (if needed)
Gastric emptying study detects delayed stomach emptying (gastroparesis).
Esophageal pH monitoring or manometry measures acid exposure and motility disorders.
Advanced Testing (if needed)
On rare occasions, Dr. Scott may recommend an endoscopic biopsy or CT scan to further clarify the cause of your symptoms.
Treatment
Our Team offers a full range of care for overweight.
1. Lifestyle and Diet Modifications
Swap sugary drinks for water or unsweetened iced tea
Add 10-15 minutes of walking after meals
Practice portion control-use a smaller plate
Keep a food journal to spot patterns
2. Medications
FDA-approved weight-management medications to curb appetite or slow fat absorption
Close monitoring for benefits and side effects by Dr. Scott's team
3. Minimally Invasive or Advanced Procedures
Endoscopic Sleeve Gastroplasty (ESG) to reduce stomach size and help you feel full sooner
Performed in our state-of-the-art endoscopy suite in Houston
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for overweight?
The most common codes are E66.3 for overweight and E66.9 for unspecified overweight.
Should I take two Plan B pills if I'm overweight?
Current guidelines do not recommend doubling the dose. Always discuss emergency contraception dosing with your healthcare provider for personalized advice.
How fast will I lose weight with endoscopic sleeve gastroplasty?
Most patients lose about 15-20% of their excess weight in the first year, though individual results can vary.
Do I need a referral to see Dr. Scott at GastroDoxs?
No referral is required. You can schedule an appointment directly by calling our Houston office or booking online.
Will my insurance cover treatment for overweight?
Coverage depends on your specific plan and diagnosis code (E66.x). Our billing team is happy to verify your benefits before treatment.
Is being overweight the same as having obesity?
Overweight is defined as a BMI between 25 and 29.9, while obesity is a BMI of 30 or higher. Both categories increase health risks but differ in severity.
Where can I learn more about healthy weight goals?
The CDC provides reliable guidance at https://www.cdc.gov/healthyweight/index.html.
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