Dr. Garth Davis

11/21/2025

Few things could be more frustrating than gaining weight after a weight loss surgery. The sleeve gastrectomy seems a little more prone to this issue. Let’s review some of the reasons that I see people regain weight after a sleeve gastrectomy.

1) Eating too frequently or snacking too much. The sleeve is designed to limit how much you eat at one sitting, but if you constantly take in food throughout the day, you will beat the sleeve.

2) Eating too much junk food, or simply just not enough fiber. In fact, I’ve seen people think that they need a lot of protein and therefore overheat high calorie foods while under eating high fiber foods that help keep you full.

3) just not exercising enough. With rapid weight loss, you can lose lean muscle and slow metabolism. It is vital to, at a minimum, get enough steps in the day, but also build muscle and do cardio exercise.

4) the pouch of the sleeve may have been made to large, or the upper stretchy part of the pouch may have been left, or the pouch just may have stretched overtime.

5) hunger may be returning. The dropping Grehlin hormone can help with satiation in the beginning, but overtime other hunger hormones can start to affect the hypothalamus and caused dysfunctional eating. I have also seen people get severe reflux after a sleeve, and often times they will take extra calories simply, whether they know it or not, to try and take away the sensation of reflux.

It can be frustrating to gain weight after a weight loss surgery, but it can be treated. This may include lifestyle, changes, medications, and sometimes surgery.

If you were having issues after weight, loss, surgery, come and see me, more info at www.garthdavismd.com

11/15/2025

11/11/2025

Sleeve gastrectomy is a great surgery for weight loss but it has an Achilles heel: Reflux. Some studies show up to 30-40% of people who get a sleeve surgery get some heartburn, but that can usually be managed with meds.

Unfortunately, some people just don’t get better with the meds, and many doctors don’t understand the anatomy and physiology, so they keep throwing meds at the problem. The real answer is surgery. Revision to gastric bypass is absolutely game changing with immediate relief.

If you are having issues after weight loss surgery, or interested in getting weight loss surgery, call 713-493-7700 and make an appointment.

11/04/2025

This is a long one. But know most won’t listen to the whole thing. We have short attention spans. Don’t know how else to shorten the idea of breaking the habit of being yourself.
If you still have a good attention span I HIGHLY recommend Joe Dispenza’s book “Breaking The Habit of Being Yourself”.

11/02/2025

I say eat mindfully, a poet re-states this far more viscerally, as you can see in the repost. I try to discuss with patients the importance to take time with your meals.

Maybe say grace before you eat. Or, as I do, think about where the food came from. Was it made with love? Was it grown in beautiful, vibrant soil, or packaged at Nabisco by people who hate their job? What kind of energy are you consuming? Nature’s love, or are you consuming fear and suffering.

Ok, I know this sounds hippy dippy, and not appropriate for a doctor who is all about science. BUT, there is science to support mindful eating. So many studies! Now maybe it is just because mindful eating may slow you down.

Ever watch a wine expert taste a wine. They don’t throw the drink back in one swallow. First they look at the color and the clarity. Then the take a deep whiff. They may say they are picking up earthy tones (yeah, it came from the earth). Then they take a sip but they don’t swallow. They let the wine bathe all of the taste buds of the tongue. I have friends that can do this and tell you the grape, region, and year it was bottled. It is amazing.

When eating like this, first of all, you get more pleasure from the food. Physiologically, the slower you eat the more time you give to let your food stimulate your natural GLP1 receptors. You also stimulate your dopamine receptors. The joy of gratitude and appreciation and the physiologic secretion of GLP1, CCK, GIP, and the drop in hormones like ghrelin, combine to make you feel full and satisfied without over eating.

Too often we slam down food without thinking. Barely enjoy it, end up overeating because we don’t wait for the physiologic cues of satiety, and feel stuffed and sick.

Blue Zones treat meals with such reverence. They don’t feel regret or guilt when they eat. Food is love. Remember this when you sit down for meals.

11/01/2025

Ending world vegan day with a vegan poke bowl from Liberty Kitchen.

11/01/2025

Is eating vegan boring??? Hell no. The nutritious bowl at is beautiful and lives up to its name.

10/31/2025

I am now in my new office and loving it. Patients will love the thorough and compassionate care that the staff offers.

They also have an active !! Facials, products, fillers, Botox, and different aesthetic machines. Before you saying anything, I have no ownership. Unbiased review. BUT I did get to sample and Tshape.

it is important to understand these therapies aren’t miracles. Diet and exercise are everything. If you have leaned down, these are good spot therapies. Emaculpt basically causes the muscles to tighten and relax many times in 30 minutes and Tshape heats the fat and provides suction.

I have done two treatments in my honest opinion as I feel tighter. It usually takes about five treatments. There are good studies that you could look up online showing benefits.

10/30/2025

Saturated fat is bad for you!!!!!! The science is so unbelievably clear. Every major nutrition and medical society lobbies for lower saturated fat but they are countered time and again by Big Ag lobbyists.
Studies showing saturated fat does not cause heart disease are funded by Beef, dairy, and egg and use statistical tricks to fool you.
RFK is frankly dangerous. His lack of knowledge is staggering.

10/28/2025

Intermittent fasting studies have not been impressive, though I think the issue may be skipping breakfast. In fasting trials where people ate breakfast and skipped dinner, they tended to have better glycemic control and insulin levels than those who skipped breakfast and ate later in the day.

10/27/2025

Dietary adherence is the key to weight loss success! Now, how do we get good adherence??? Frequent touch points and self monitoring. My new virtual weight loss program will provide both. Coming soon!!!