The home of ESG. With options beyond ESG.
Beyond ESG, Everself Washington DC offers several non-surgical paths to weight loss — whichever fits your case best.
A 60-minute, non-surgical weight loss procedure, performed by Dr. Laster-Butler in Washington, DC. Options include ESG (endoscopic sleeve gastroplasty), plus gastric balloon and bariatric revision. Home the same afternoon.

Dr. Janese Laster-Butler
4× Board-certified · GI / IM / Obesity / Nutrition
As seen in
#1 in Washington DC
Endoscopic weight care
We invented ESG
At Harvard, 2012
40+ lbs
20% avg. weight loss
60 min
Home the same day
Beyond ESG, Everself Washington DC offers several non-surgical paths to weight loss — whichever fits your case best.
Where Everself Washington DC performs ESG
Gut Theory Total Digestive Care is a boutique gastroenterology center in upper Northwest Washington DC, just off Wisconsin Avenue between Friendship Heights and downtown Bethesda.
Gut Theory Total Digestive Care
5225 Wisconsin Ave NW Suite 200B
Washington, DC20015
Open in Google MapsTelehealth follow-ups available
English · Español
Free on-site parking · ADA accessible
Your Washington DC team

Led by Dr. Janese Laster-Butler
Everself Washington DC is led by Dr. Janese Laster-Butler, quadruple board-certified in Internal Medicine, Gastroenterology, Obesity Medicine, and Nutrition. She completed her training at Georgetown University Hospital and pursued advanced bariatric endoscopy fellowship work in Madrid, Spain. In 2020 she founded Gut Theory Total Digestive Care and remains a national advocate for expanded insurance coverage of obesity treatment.
Quadruple-boarded
IM · GI · Obesity · Nutrition
Georgetown
IM residency + GI fellowship
UTMB
Medical degree
Madrid-trained
HM Sanchinarro bariatric endo
Real Everself patient results
What is ESG (Endoscopic Sleeve Gastroplasty)
1
A virtual consultation from the comfort of your home with your Washington DC specialist provider. Comprehensive metabolic labs, one all-in cost, no upsell.
2
Through your mouth, your doctor places 7–10 sutures, reducing the stomach size by ~75%. Home the same day. No incisions, no scars.
3
The Everself Program — dietitian, 24/7 nurse practitioner on call, group support, and a peer community for the full year.
If you're comparing options
What to expect
Done entirely from home. No need to visit a physical center.
1
A 45-minute video call with your provider.
2
Visit a LabCorp near you for pre-procedure labs.
3
A nurse or health coach on your case, prepping you for procedure day.
Plan on about half a day at Gut Theory Total Digestive Care. Home the same afternoon.
1
Plan to arrive about one hour before your procedure.
2
Standard general anesthesia. No incisions — work happens internally.
3
Once recovery checks are complete, a friend or family member takes you home.
12 months of concierge care, delivered virtually from the comfort of home.
1
Complimentary IV hydration at a partner site near you.
2
Liquids to soft foods, guided by your dietitian. Gentle exercise from week one.
3
Designed to help you transition to a healthier lifestyle — dietitian, group visits, nurse practitioner, community support. Full program below ↓
Patient stories from the Everself network
This whole experience so far has been absolutely incredible. They walk you through everything before and after. I am not 3 weeks post and they have followed up with me, I even had sent them a text at 8pm due to a question and they answered me within 2 minutes. …
I had my procedure 11 weeks ago. After years of battling with my weight I found Bariendo on Facebook, looked into it and decided fairly quickly that this is what I want to do. The procedure was painless and recovery was easier than I thought it would be. …
This company and all of its team has been absolutely fantastic. I am 5 weeks post op and down 50lbs. I am heading towards my ultimate goal and will never look back. If you’re thinking about it, just do it. You will not regret it.
The Everself Program
ESG is the procedure. The Everself Program is the team around it — a personal dietitian, a nurse practitioner on call 24/7, a care manager you can text, and a peer community you keep for life.
Nurse practitioner
Registered dietitian
Nurse care manager
Patient coordinator
"The staff is incredible to say the least and they really do demonstrate their care for their clients."
Two to three days of rest and gentle return to normal, then a full first month with your Washington DC nurse care manager checking in daily and an Everself provider one tap away around the clock.
1-on-1 coaching from a personal dietitian, weekly group sessions, and (if you want it) an optional GLP-1 add-on to amplify results in the first year.
Fine-tune your weight loss and graduate into a lifetime patient community. Final provider check-ins make sure you're on track for years, not months.

For out-of-town patients
Everself patients receive a special discount at AC Hotel Bethesda Downtown, conveniently located within 8 minutes of Gut Theory Total Digestive Care, our procedure location.
Pricing
Self-pay, no insurance to wrangle. Pay with HSA or FSA, or finance through Cherry or CareCredit (0% APR options for qualified applicants).
See full pricing breakdown →ESG · all-in
$12,995
Procedure + 12 months of concierge care
Financing
From $297 / mo
Through Cherry or CareCredit · HSA / FSA accepted · 0% APR for qualified applicants
or talk to the team · (202) 991-1415
A drug-free, non-surgical, fully reversible path to weight loss.
$7,495
from $172/mo · Cherry / CareCredit / HSA / FSA
A non-surgical revision for those regaining weight after gastric sleeve.
$11,995
from $275/mo · Cherry / CareCredit / HSA / FSA
A non-surgical revision for those regaining weight after gastric bypass.
$11,995
from $275/mo · Cherry / CareCredit / HSA / FSA
To get an endoscopic weight loss procedure in Washington DC, please schedule a virtual consultation with one of our nurse practitioners or physician assistants to determine your eligibility. We don't accept walk-ins.
To be eligible for one of our endoscopic weight loss procedures (such as endoscopic sleeve gastroplasty, gastric balloon, or revision of prior bariatric surgery), you must have a BMI over 30, or a BMI between 27 and 29.9 with conditions like high blood pressure, diabetes, high cholesterol, sleep apnea, or fatty liver disease.
For an endoscopic revision of prior bariatric surgery, you must have had a gastric bypass or gastric sleeve surgery.
Our team invented endoscopic sleeve gastroplasty (ESG) at Harvard Medical School and authored both the official ESG protocol and the field's best-practice technique standard — so when you choose Everself, you're choosing the source.
Technique matters: ESG outcomes vary substantially with suture count, the stitch pattern, and whether each bite captures full-thickness tissue. Traditional ESG uses 3 to 5 sutures; the Everself protocol uses 7 to 10 — up to double the structural anchoring — and each stitch grabs full-thickness gastric wall, which is what makes the reduction durable years out.
The procedure is also only half of the program. We co-authored a 12-month longitudinal-care protocol that goes far beyond passive check-ins: every patient is supported by a dedicated care coordinator, a registered dietitian, group support cohorts, and a 24/7 nurse practitioner on call.
This combination of inventor-grade technique plus a true 12-month program is what sets Everself apart from any other ESG provider.
Endoscopic sleeve gastroplasty (ESG) is a less invasive, non-surgical weight loss option with a quicker recovery, no scarring, and fewer complications, typically requiring 1 to 3 days off work. In contrast, sleeve gastrectomy is a surgical procedure with more significant weight loss but involves a longer recovery, hospital stay of 1 to 3 days, and 2 to 4 weeks off work.
Consult with our clinical team or your healthcare provider to determine the best option for you.
Everself Washington DC · with Dr. Laster-Butler
45-minute virtual consultation. No obligations.
Bariendo is now Everself. Learn more