THE GUT THEORY WAY

Weight Loss Clinic in Washington, DC

Transform your health at the leading weight loss center in Washington, DC. Our expert weight loss doctors are here to help you achieve lasting results with a personalized plan that includes nutrition education, lifestyle coaching, and advanced options like weight loss medications and endoscopic bariatric techniques. Experience the difference of an evidence-based program designed not just for quick results, but for lifelong success. Let’s start your healthy weight loss journey for the last time!

Weight Loss
Services

Weight Loss Medications Gastric Balloon Endoscopic Sleeve Gastric Sleeve Revision

Gastroenterology
Services

Diagnostic Endoscopy Screening Colonoscopy

Nutrition
Services

Nutrition Memberships Group Reset New

Nutrition Services

Gut Essentials

Foundational support to improve gut health and support healthy weight loss.

$350 /month

6 individual monthly visits
Response within 2-3 business days
Monthly check-ins to review and adjust plan
Scheduled follow-up with your care team
Standard medication initiation

Get started

Included

Comprehensive initial assessment
Lab review
Body composition analysis (BioImpedance)
Personalized nutrition plan & daily intake targets
Grocery shopping list
Lifestyle change guidance
Anti-obesity medication management (if indicated)
Detailed visit summaries & recipes
Telehealth visit options

Community & Membership Perks

Supportive patient chat community
Virtual cooking classes
Virtual meditation sessions
Monthly newsletter
Early access to events

Gut Rehab

Enhanced support to restore gut health and more accountability for weight loss.

$425 /month

Bi-weekly (months 1–3) then monthly (months 4–6) individual visits
Response within 1 business day
Bi-weekly plan reviews
More direct access to Dr. Laster-Butler
Faster medication initiation and titration when needed

Get started

Included

Comprehensive initial assessment
Lab review
Body composition analysis (BioImpedance)
Personalized nutrition plan & daily intake targets
Grocery shopping list
Lifestyle change guidance
Anti-obesity medication management (if indicated)
Detailed visit summaries & recipes
Telehealth visit options

Community & Membership Perks

Supportive patient chat community
Virtual cooking classes
Virtual meditation sessions
Monthly newsletter
Early access to events

Gut Overhaul

Optimal support to transform gut health and maintain lasting weight loss.

$475 /month

Weekly (month 1) Bi-weekly (months 2–6) individual visits
Response the same or next business day
Rapid plan reviews and adjustments
Maximum access to Dr. Laster-Butler
Fastest medication initiation and titration based on your progress

Get started

Included

Comprehensive initial assessment
Lab review
Body composition analysis (BioImpedance)
Personalized nutrition plan & daily intake targets
Grocery shopping list
Lifestyle change guidance
Anti-obesity medication management (if indicated)
Detailed visit summaries & recipes
Telehealth visit options

Community & Membership Perks

Supportive patient chat community
Virtual cooking classes
Virtual meditation sessions
Monthly newsletter
Early access to events

Group Reset

New

Physician-led group support to treat your weight and digestive health together.

$15 /month

OON insurance submitted
on your behalf*

75-minute physician-led group visit
Small-group support with 20 patients max
Education on weight, gut health, and disease reversal
One clear health goal to work on each month
Session recordings and after-visit summaries sent to your portal

*No OON coverage? Discounted cash-pay rates are available upon request.

Get started

Included

75-minute physician-led group visit
Monthly education on weight, gut health, and disease reversal
Small-group support with 20 patients max
Wins Circle: share one win, one struggle, and one goal
One personalized health goal to work on each month
Session recording if you miss the visit
After-visit summary sent to your patient portal
Monthly gut-friendly recipe card

Community & Membership Perks

Supportive monthly group accountability
Real community with patients on a similar health journey
Practical tools you can use between sessions
Insurance paperwork submitted for out-of-network benefits
Discounted cash-pay options available when needed

Pricing is based on a 6-month commitment. There is an option for renewal at the end of the plan period.

Insurance rebate

Your insurance may reimburse part of your membership cost. We provide a CMS superbill after each visit for possible out-of-network reimbursement.

Call to Check Eligibility

Weight Loss Procedures Pricing

Gastric Balloon

A fluid-filled silicone balloon placed inside your stomach for 6 months to help you lose weight.

$7,495/total

Check eligibility

Balloon placement
Balloon removal
Smart scale
Pre-procedure blood work
Post-procedure IV fluid therapy
Dietitian consultations
12-month follow-up with your care team
Unlimited messaging with your care team
Medications not included

ESG stomach tightening®

A non-surgical, minimally invasive, reversible procedure to significantly reduce your stomach size and help you lose weight.

$12,995/total

Check eligibility

ESG Stomach Tightening®
Smart scale
Pre-procedure blood work
Post-procedure IV fluid therapy
Dietitian consultations
12-month follow-up with your care team
Unlimited messaging with your care team
Medications not included

Revision of Bariatric Surgery

A non-surgical, minimally invasive, reversible procedure to significantly reduce your stomach size and help you lose weight.

$11,995/total

Check eligibility

ESG Stomach Tightening®
Smart scale
Pre-procedure blood work
Post-procedure IV fluid therapy
Dietitian consultations
12-month follow-up with your care team
Unlimited messaging with your care team
Medications not included

BEFORE & AFTER
Non-surgical procedures

Image Before & After Non-surgical Weight Loss

See more results

About
Dr. Janese Laster-Butler

Dr. Janese Laster-Butler is board certified in Internal Medicine, Gastroenterology, Obesity Medicine, and nutrition. She completed both her Internal Medicine residency and Gastroenterology fellowship training at Georgetown University Hospital in Washington, DC. During her Gastroenterology fellowship she became interested in nutrition and bariatric endoscopy and sought out additional training. She completed the Nestle Clinical Nutrition fellowship program and then an advanced endoscopic bariatric training fellowship with an international expert.

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WHAT PATIENTS ARE SAYING

Thank you for helping me understand how to change my gut microbiome to help me crave that healthy plant based lifestyle with the added bonus
of weight loss

Lisa F.

I couldn't believe how great I felt after my 35 lb weight loss. Definitely a new path!

Mishari A.

If you’re looking for someone who will motivate you, listen to what you’re looking for and give you healthy , science based recommendations,
Dr. Laster-Butler is your woman!

Christine M.

Just the most amazing care and compassion, cannot recommend highly enough! A year later and I hit my target weight loss, and I’m still steadily creating healthier habits and losing weight. I feel so much more healthy!

Benjamin J.

I finally feel heard. Losing weight has been an uphill battle since having my daughter, but finding a provider that listens had been even harder. That is, until i found Dr.Laster-Butler. She is incredibly knowledgeable, listens, and helps you set realistic goals

Raimi R.

I would like to take this opportunity to thank Dr J Laster-Butler and share my experience. I’m truly grateful I chose Gut Theory. The process has truly changed my life. I’m healthier and lost over 30 pounds and still losing. I would definitely recommend her to anyone seeking to make a healthy change in their life. Thank you for helping me achieve my goals!

Sharon J.

Dr. Laster-Butler is awesome. She is an expert in her field. I researched several doctors before I made my decision to go with Gut Theory Total Digestive Care.
Dr. Laster-Butler explained the ESG procedure in great detail. I was immediately put at ease. My after care was top notch, the IV the next day was a godsend. Dr. Laster-Butler called everyday for a week to make sure everything was going according to plan. I can’t say enough about the nutrition plan she provides and the aftercare. Dr. Laster-Butler is dedicated to providing patients with all of the tools for the weight loss. I am so thankful to have found Gut Theory.

Aleta G.

I feel like all my adult life I struggled to maintain a healthy weight. In my 20’s I would spend hours in the gym every other day. But as my life changed and my family grew I started exercising less and less. I weighed myself one day and said that enough (I don’t eat terribly, no candy soda etc) so I decreased the amount of food bought a food scale, only ate between the hours of 8am and 4pm for 6 weeks and you know how much weight I lost? Not one pound. I knew I needed professional help. With a little research I found Dr. Laster-Butler and her team. Her office always has street parking and the tele-visits are even more convenient. If you’re remotely close to the DC area I would recommend stop dieting and giving Dr. Laster-Butler a call. She changed my life!

Andrea W.

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