
Gut Theory Total Digestive Care
Quick Facts
| Membership Price Range | Gastric Balloon: $7,495 total | ESG Stomach Tightening®: $12,995 total | Revision of Prior Bariatric Surgery: $11,995 total | Nutrition Membership: $50 non-refundable consult fee |
| Practice Type | Specialty |
| Location | Friendship Heights, Washington, DC |
| Doctors | Janese Laster-Butler MD, Gastroenterology |
| Telehealth Type | Virtual consultation (telehealth) |
| Telehealth Available | Yes |
About
At Gut Theory Total Digestive Care, Dr. Janese Laster-Butler combines gastroenterology, obesity medicine, and nutrition science under one roof. Her Washington, DC practice operates from the Friendship Heights neighborhood and welcomes out-of-state and international patients.
Dr. Laster-Butler treats obesity as a chronic, relapsing, neurobehavioral disease. She builds personalized plans that pair endoscopic procedures with nutrition education, lifestyle coaching, and pharmacologic therapy. Her procedure suite holds AAAASF accreditation, meeting rigorous national standards for ambulatory care. She uses InBody Bioimpedance testing to measure each patient's visceral fat, skeletal muscle mass, metabolic rate, and body composition before designing a care plan. Her Eater Type Survey digs into hunger patterns, emotional eating, and eating pace to sharpen those recommendations further. Patients have reported reversal of diabetes, improved cholesterol, better sleep, and sustained weight loss under her care.
Details
Address
5225 Wisconsin Ave NW, Suite 200B, Washington, DC 20015
Phone
(202) 866-3064Website
Visit websiteMembership Details
Procedure-based pricing: Gastric Balloon $7,495 total (includes balloon placement/removal, smart scale, pre-procedure blood work, post-procedure IV fluid therapy, dietitian consultations, 12-month follow-up, unlimited messaging; medications not included). ESG $12,995 total (same inclusions). Bariatric revision $11,995 total (same inclusions). Nutrition membership requires $50 non-refundable consult fee.
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Frequently Asked Questions
Gut Theory Total Digestive Care prices the gastric balloon at $7,495 total. That fee covers balloon placement and removal, a smart scale, pre-procedure blood work, post-procedure IV fluid therapy, dietitian consultations, a 12-month follow-up with the care team, and unlimited messaging. Medications are not included in the procedure price.
Gut Theory prices ESG at $12,995 total. The package includes the procedure itself, a smart scale, pre-procedure blood work, post-procedure IV fluid therapy, dietitian consultations, 12-month follow-up care, and unlimited messaging with the care team. The practice does not include medications in this fee.
Yes. Dr. Laster-Butler performs non-surgical revisions for both gastric bypass and gastric sleeve patients. The practice prices bariatric revision at $11,995 total, with the same comprehensive inclusions as other procedures: blood work, IV fluid therapy, dietitian consultations, a smart scale, 12-month follow-up, and unlimited messaging.
Gut Theory Total Digestive Care uses procedure-based pricing and does not bill insurance for its endoscopic weight loss procedures. The practice provides transparent all-inclusive pricing for each procedure. For nutrition membership consultations, the practice charges a $50 non-refundable consult fee to begin.
Yes. Gut Theory offers a complimentary initial consultation via telehealth. Before that visit, the practice sends a patient intake packet with a nutrition history survey. Dr. Laster-Butler reviews that information and discusses evidence-based options during the appointment. Patients can schedule directly through the practice website.
Yes. Gut Theory Total Digestive Care offers telehealth visits, including the complimentary initial consultation. Dr. Laster-Butler also makes weight loss medications available to patients who prefer a virtual appointment for that service.
Yes. Gut Theory actively serves out-of-state and international patients. The practice sits in the walkable Friendship Heights neighborhood of Washington, DC, close to shopping and dining. The location offers convenient access from multiple regional airports, and the team works to make the visit as smooth as possible for traveling patients.
Dr. Laster-Butler uses InBody Bioimpedance testing to measure visceral fat, skeletal muscle mass, total body fat, water weight, and basal metabolic rate at baseline. She also uses the Eater Type Survey to assess hunger patterns, satiation, emotional eating, and eating pace. Together, these tools help her build a plan specific to each patient's physiology and behavior.
Yes. The private office-based procedure suite at Gut Theory Total Digestive Care holds accreditation from the American Association for Accreditation of Ambulatory Surgery Facilities, also known as AAAASF or QUAD A. This accreditation reflects rigorous national standards for outpatient procedural care and patient safety.
Every procedure package includes 12 months of follow-up care with the clinical team and unlimited messaging. Patients also receive dietitian consultations and nutrition coaching as part of their program. Dr. Laster-Butler designs her programs for long-term success, combining procedural results with lifestyle and pharmacologic support throughout the follow-up period.
Practice last updated March 21, 2026


