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Gastric Balloon 2026: Non-Surgical Weight Loss Pricing, Packages & Planning
This page is designed for patients researching intragastric balloon treatment in Turkey. You will find balloon-type comparisons, transparent pricing ranges, package details, candidacy guidance, and a structured checklist to evaluate clinics by medical quality rather than headline price alone. Mapa Health provides consultation-led planning so every quote reflects your individual health profile and weight-loss goals.
Why Patients Choose Turkey for Gastric Balloon Treatment
Istanbul has emerged as a leading destination for intragastric balloon placement thanks to competitive pricing, modern endoscopy units, and comprehensive aftercare programmes that include remote dietitian follow-up. However, not every provider delivers the same clinical standards. Evaluating the post-placement support plan is just as important as comparing the balloon price itself.
Quick Cost & Planning Snapshot
Your final quote is shaped by clinical evaluation, balloon selection, hospital choice, and aftercare scope. The most accurate pricing always follows a medical review of your BMI, health history, and weight-loss targets.
- Current BMI and target weight-loss range
- Choice of balloon type (standard, adjustable, or swallowable)
- Pre-procedure blood work and health screening
- Endoscopy unit and hospital facility level
- Duration and depth of dietitian follow-up programme
- Hotel, transfer, and coordinator support scope
- Post-removal monitoring and lifestyle coaching
What to send for a faster online assessment
- Current weight, height, and BMI calculation
- Brief summary of previous weight-loss attempts
- Existing medical conditions and medication list
- Your weight-loss goal and preferred timeline
Gastric Balloon Turkey Cost (2026 Guide)
Intragastric balloon pricing in Istanbul varies by balloon brand, hospital tier, and the scope of the accompanying nutrition programme. The ranges below represent current market guidance for international patients and should be used as a comparison starting point rather than a confirmed personal quote.
| Balloon Type | How It Works | Estimated Cost (starting from) | Key Price Factors |
|---|---|---|---|
| Standard Gastric Balloon (Orbera) | Single silicone balloon placed endoscopically, filled with saline, removed after 6 months | From €2,000 | Hospital facility, sedation type, dietitian programme duration |
| Adjustable Balloon (Spatz3) | Volume-adjustable balloon allowing titration during treatment; up to 12-month placement | From €2,800 | Adjustment sessions, extended placement period, monitoring frequency |
| Swallowable Balloon (Elipse) | Capsule swallowed without endoscopy; self-deflates and passes naturally after ~4 months | From €3,000 | No endoscopy cost offset by proprietary device pricing, follow-up scope |
| Dual Balloon System | Two connected balloons placed endoscopically to occupy more gastric volume | From €3,200 | Device cost, placement complexity, hospital tier, nutrition programme |
| Balloon + Dietitian Programme | Standard balloon with enhanced 6-month structured nutrition coaching and remote check-ins | From €2,500 | Programme intensity, session frequency, dietitian qualifications |
Mapa Health Price Reference (Consultation-Led Planning)
Mapa Health currently shares a gastric balloon package example from €2,000, including 1 night at Hilton Istanbul, VIP airport transfer, pre-procedure blood tests, and a 6-month remote dietitian follow-up programme. Final pricing is confirmed after medical review of your BMI, health status, and balloon preference.
Always request a written breakdown distinguishing core treatment costs from optional add-ons before making a deposit.
Turkey vs UK / USA / Germany / Eastern Europe: Gastric Balloon Cost Comparison
Patients travelling for gastric balloon treatment compare Turkey primarily on total value: device cost, hospital quality, nutrition follow-up depth, and travel convenience. The table below provides broad market-level pricing patterns for initial comparison only.
| Country | Typical Balloon Cost Range | Dietitian Follow-Up | Notes |
|---|---|---|---|
| Turkey (Istanbul) | €2,000 - €3,500 | Often included in package (6-month programme) | Competitive all-inclusive pricing with hotel and transfer; verify hospital accreditation |
| United Kingdom | £4,000 - £8,000 | Sometimes included; often charged separately | NHS rarely covers balloons; private clinic prices vary significantly by region |
| United States | $6,000 - $10,000+ | Usually billed separately or limited scope | Insurance coverage is rare; high price variability between states and providers |
| Germany | €4,500 - €8,000 | Usually included but scope varies | Higher operating costs; public insurance coverage is case-dependent |
| Eastern Europe (Poland, Czech Republic) | €2,500 - €4,500 | Varies by provider | Growing medical tourism market; compare aftercare depth and balloon brand carefully |
Total Budget Planner: The Balloon Price Is Not Your Whole Cost
Accurate financial planning requires looking beyond the procedure fee. Use this framework when evaluating offers from multiple clinics to avoid unexpected out-of-pocket expenses.
Core Treatment Cost
- Balloon device and brand selection
- Endoscopy unit or fluoroscopy suite fees
- Sedation or anaesthesia charges
- Removal endoscopy (included or separate?)
Travel & Stay Costs
- Return flights (usually excluded from packages)
- Hotel nights beyond the included stay
- Airport and local transfers if not in package
- Companion travel and meal expenses
Aftercare & Follow-Up
- Anti-nausea and acid-suppression medication
- Dietitian programme sessions and monitoring
- Remote check-ins and progress tracking
- Balloon removal procedure at 6 or 12 months
What Drives Gastric Balloon Pricing the Most?
- Balloon brand and technology (standard vs adjustable vs swallowable)
- Hospital or endoscopy centre accreditation level
- Scope and duration of the nutrition follow-up programme
- Whether balloon removal is included in the initial quote
- Sedation type and monitoring requirements
- Package inclusions such as hotel, transfer, and coordinator support
How to Compare Gastric Balloon Quotes Correctly
- Confirm whether removal endoscopy is included or billed separately
- Ask about the dietitian programme structure, not just whether it exists
- Request a written list of all inclusions and exclusions
- Check if pre-procedure blood work and screening are covered
- Compare follow-up support quality beyond the first week
Warning Signs in Price Conversations
- No mention of dietitian follow-up or nutrition programme
- Removal procedure quoted as a separate, unspecified charge
- No pre-procedure health screening or BMI assessment
- Pressure to book immediately without medical review
- Unrealistic weight-loss guarantees without clinical caveats
All pricing information on this page serves educational and comparison purposes only. A confirmed quote should be based on individualised medical assessment and current package details. Prices are quoted in EUR and may fluctuate.
What Is Included in a Gastric Balloon Package in Turkey?
International patients need clarity on what happens before, during, and after balloon placement. A well-structured package should cover the entire treatment cycle, not just the 30-minute procedure itself.
Before Arrival
- Online BMI assessment and medical history review
- Balloon type recommendation based on health profile
- Pre-procedure dietary guidelines to prepare the stomach
- Travel planning and scheduling coordination
During Your Stay
- VIP airport transfer to hotel and hospital
- 1 night accommodation at Hilton Istanbul
- Pre-operative blood tests and health screening
- Endoscopic balloon placement under sedation
After Treatment
- Anti-nausea medication and dietary transition plan
- 6-month remote dietitian follow-up programme
- Progress monitoring and weight-tracking support
- Balloon removal planning and scheduling (at 6 or 12 months)
Example Package Tiers (How Clinics Typically Structure Balloon Offers)
Different providers may use varying terminology, but most gastric balloon packages follow a recognisable tiered structure. This framework helps you compare offers from multiple clinics even when marketing labels differ.
Mapa Health Gastric Balloon Package (Reference)
- Consultation-led balloon selection matched to BMI and health profile
- Pre-procedure blood tests and health screening included
- 1 night hotel at Hilton Istanbul and VIP airport transfer
- Endoscopic placement and all procedure-day consumables
- 6-month remote dietitian follow-up with structured meal planning
- Final quote confirmed after medical review and balloon selection
How to Read a Balloon Package Offer Correctly
- The starting price is a reference, not a guaranteed figure for every patient
- Balloon brand significantly affects device cost within the package
- Dietitian follow-up scope may vary from basic to comprehensive
- Always confirm whether removal endoscopy is included or billed later
- Ask about medication coverage for the adaptation period
| Package Tier | Usually Included | Best Suited For | Main Price Difference Drivers |
|---|---|---|---|
| Essential Balloon Package | Standard balloon + placement + basic dietary guidance + limited follow-up | Patients arranging their own accommodation and travel | Balloon brand, hospital level, follow-up scope |
| Standard International Package | Balloon + placement + hotel + transfer + 6-month dietitian programme | Most international patients seeking comprehensive support | Hotel tier, dietitian programme depth, balloon type |
| Premium Balloon Programme | Adjustable or swallowable balloon + upgraded accommodation + extended nutrition coaching | Patients wanting the most advanced balloon technology and maximum support | Balloon technology, programme duration, accommodation level |
Items Usually Included (Confirm Before Booking)
- Online consultation and BMI assessment
- Pre-procedure blood tests and health screening
- Balloon device and endoscopic placement
- VIP airport transfer (if stated in package)
- Hotel accommodation (number of nights varies)
- Anti-nausea medication for the adaptation period
- Dietitian follow-up programme (duration varies)
Items Often Excluded (Or Optional Add-Ons)
- Return flights and travel insurance
- Extra hotel nights beyond the package allowance
- Companion accommodation and meals
- Balloon removal endoscopy (sometimes separate)
- Extended dietitian programme beyond standard scope
- Supplementary vitamins or specialist medications
Orbera vs Spatz3 vs Elipse vs Obalon vs ReShape Duo: Which Balloon Is Right for You?
Each intragastric balloon type has distinct placement methods, treatment durations, and adjustment capabilities. The optimal choice depends on your BMI, health profile, lifestyle preferences, and how much medical intervention you are comfortable with. Your gastroenterologist should recommend a balloon type based on clinical evaluation, not availability or cost alone.
| Balloon System | Placement Method | Duration in Stomach | Key Feature | Considerations |
|---|---|---|---|---|
| Orbera | Endoscopy under sedation | 6 months | Most widely studied single-balloon system worldwide | Fixed volume; requires endoscopic removal |
| Spatz3 | Endoscopy under sedation | Up to 12 months | Volume-adjustable during treatment; longer placement window | Adjustment sessions needed; higher device cost |
| Elipse | Swallowed as capsule (no endoscopy) | ~4 months (self-deflating) | No endoscopy for placement or removal; least invasive option | Shorter treatment window; not adjustable; passes naturally |
| Obalon | Swallowed as capsule, inflated with gas | 6 months | Up to 3 balloons placed sequentially over weeks for gradual effect | Requires endoscopic removal; gas-filled (lighter feel) |
| ReShape Duo | Endoscopy under sedation | 6 months | Dual connected balloons for greater gastric volume occupation | Higher device cost; safety redundancy from dual design |
How Balloon Selection Should Be Made
- Start with your BMI, medical history, and weight-loss targets, not marketing material
- Consider whether you prefer to avoid endoscopy entirely (Elipse option)
- Evaluate whether a longer treatment window (Spatz3) suits your goals better
- Discuss tolerance management: adjustable balloons can reduce early nausea
Questions to Ask During Consultation
- Why is this specific balloon type recommended for my case?
- What happens if I cannot tolerate the balloon in the first week?
- Is the removal procedure included in my quoted price?
- How does the dietitian programme work after I return home?
Who Is a Good Candidate for a Gastric Balloon?
Gastric balloon candidacy is determined by BMI range, overall health status, weight-loss history, and willingness to commit to dietary and lifestyle changes throughout the treatment period and beyond.
- BMI between 27 and 40, or higher BMI as a bridge before bariatric surgery
- Previous unsuccessful attempts at sustained weight loss through diet and exercise
- Willingness to follow a structured nutrition programme for 6-12 months
- No active gastric ulcers, large hiatal hernia, or previous gastric surgery
- Realistic expectations about achievable weight loss (10-15% of total body weight)
When a Gastric Balloon May Not Be Suitable
- Active gastric or duodenal ulcers, significant oesophageal disease, or large hiatal hernia
- Previous bariatric surgery or major stomach operations
- Pregnancy or planned pregnancy during the balloon period
- Chronic anticoagulation therapy that cannot be safely managed
A responsible clinic will decline unsuitable candidates or recommend alternative treatments such as gastric sleeve or gastric bypass when the balloon alone will not achieve meaningful results. This honesty is a quality signal.
Your Gastric Balloon Journey: From Online Assessment to Long-Term Follow-Up
Understanding each stage of the treatment pathway helps you plan travel dates, manage recovery expectations, and evaluate whether a clinic genuinely supports you beyond the procedure day.
Treatment Timeline (Typical Flow)
- Online BMI Assessment You share your weight, height, medical history, and weight-loss goals. The clinical team provides an initial eligibility evaluation and balloon recommendation.
- Pre-Procedure Preparation Dietary guidelines are provided to prepare your stomach. Travel dates, hotel, and transfer logistics are coordinated before departure.
- Arrival Day VIP airport transfer to hotel. Evening or next-morning appointment for pre-operative blood tests and health screening at the hospital.
- Balloon Placement Day Endoscopic placement under sedation takes 20-30 minutes. Post-procedure monitoring and discharge with adaptation medication.
- Adaptation Period (Days 1-5) Managed nausea and liquid diet phase. Remote contact with the clinical team for symptom management and dietary progression.
- 6-Month Dietitian Programme Structured remote follow-up with regular check-ins, meal planning guidance, progress tracking, and behavioural coaching to maximise weight loss.
Recovery and Results Timeline
- Days 1-3 Nausea, cramping, and occasional vomiting are common as the stomach adapts to the balloon. Anti-nausea medication and a clear-liquid diet help manage symptoms.
- Days 4-7 Symptoms typically ease significantly. Gradual transition from liquids to pureed foods under dietitian guidance.
- Weeks 2-4 Introduction of soft foods. Most patients notice reduced appetite and earlier satiety. Regular weigh-ins begin.
- Months 1-3 Steady weight loss averaging 2-4 kg per month with programme adherence. Dietary habits and portion control are being established.
- Months 3-6 Continued weight loss and consolidation of new eating patterns. Most patients reach their primary weight-loss milestone in this period.
- Month 6-12 Balloon removal (standard) or continued treatment (Spatz3). Post-removal maintenance phase focuses on sustaining results through established habits.
How to Choose a Safe Gastric Balloon Provider in Turkey
Safety in balloon treatment extends beyond the procedure itself. The quality of pre-screening, the hospital environment, the adaptation-period support, and the long-term nutrition follow-up all contribute to a safe and effective outcome.
Medical Screening
- Is a thorough pre-procedure health assessment performed?
- Are blood tests and BMI evaluation done before balloon selection?
- Are contraindications clearly communicated and documented?
Procedure Environment
- Is the endoscopy performed in a hospital or accredited endoscopy centre?
- Is an anaesthesiologist or sedation specialist present during the procedure?
- What emergency protocols exist for rare complications?
Aftercare & Monitoring
- Is there a structured dietitian programme, not just generic advice?
- How quickly can you reach the medical team if issues arise after returning home?
- Is balloon removal planned and included, or treated as an afterthought?
Results & Review Checklist: How to Evaluate Gastric Balloon Value
An attractively priced balloon offer means little without evidence of sustained weight-loss outcomes and quality aftercare. Use these criteria to assess real value before committing any deposit.
What to Look for in Weight-Loss Results
- Documented weight-loss data at 3, 6, and 12 months, not only immediately post-placement
- Cases with similar starting BMI and health profile to yours
- Evidence of sustained results after balloon removal, not just during treatment
- Transparent reporting of average weight loss, not just best-case outcomes
- Information about the nutrition programme that supported the results
- Clarity on what percentage of patients achieve the stated targets
If published outcome data is limited, ask for anonymised case summaries or programme completion statistics during consultation.
How to Read Patient Reviews More Accurately
- Look for comments about the dietitian programme quality, not just the placement experience
- Check whether reviews mention weight-loss outcomes at 3-6 months post-placement
- Compare experiences across multiple platforms rather than trusting one source
- Pay attention to how the clinic handled the adaptation period and any complications
- Be cautious with very short reviews that only praise friendliness without clinical details
- Value reviews that describe the full journey from consultation to post-removal follow-up
Request links to current review profiles and recent patient testimonials directly from the clinic if they are not visible on the website.
Quote Comparison Scorecard (Use This Before Booking)
When evaluating multiple gastric balloon offers, score each provider against consistent criteria. This prevents low-price, low-support offers from winning your decision for the wrong reasons.
| Category | What to Compare | Why It Matters | Suggested Weight |
|---|---|---|---|
| Nutrition Follow-Up | Programme structure, session frequency, dietitian qualifications, duration | The single biggest factor determining whether weight loss is sustained after removal | High |
| Medical Screening | Pre-procedure tests, BMI assessment, contraindication checks | Proper screening prevents unsuitable placements and reduces complication risk | High |
| Balloon Technology | Brand, type, CE/FDA certification, placement method | Device quality affects safety, comfort, and treatment duration | High |
| Package Transparency | Written inclusions/exclusions, removal coverage, medication supply | Prevents surprise charges and enables accurate total-cost comparison | Medium |
| Price | Total quoted amount including all confirmed services | Relevant only after quality, safety, and support scope are established | Medium |
| Post-Removal Support | Maintenance coaching, weight-regain prevention strategies | Critical for long-term success; the period after removal is where habits are tested | Medium |
Verified Public Trust Signals (Mapa Health)
The references below are publicly verifiable and help patients confirm basic service claims before requesting a detailed consultation and personalised gastric balloon treatment plan.
Certification / Authorization (Officially Stated)
Mapa Health's official contact page states that treatments are performed at partner healthcare institutions holding the official health tourism authorization certificate. For gastric balloon procedures, this means the endoscopy is conducted in an accredited hospital environment.
- Partner institutions certified for health tourism as stated on official pages
- Use this as a verification starting point, then request current accreditation documents
- Confirm which specific hospital or endoscopy centre will perform your balloon placement
Independent Review Profile (Public Source)
As of 27 February 2026, the public Trustpilot profile for mapahealth.com covers multiple treatment categories including bariatric and weight-loss procedures. Review individual comments for balloon-specific feedback on the placement experience, dietitian support quality, and weight-loss outcomes.
- Reviews span various treatments; filter for bariatric and weight-loss feedback
- Focus on comments about nutrition follow-up and post-procedure support quality
- Cross-reference review details with your written quote and consultation information
Why Mapa Health for Gastric Balloon in Turkey?
Selecting a gastric balloon provider should be based on the quality of medical screening, balloon technology access, nutrition programme depth, and long-term support structure, not simply on headline pricing.
- Personalised balloon recommendation based on BMI assessment, health profile, and weight-loss goals
- Access to multiple balloon systems (Orbera, Spatz3, Elipse) matched to individual suitability
- Procedures performed in accredited hospital endoscopy units with sedation specialist presence
- Comprehensive 6-month remote dietitian programme with structured meal planning and check-ins
- Transparent package communication with written inclusions and exclusions before any deposit
- Coordinated patient journey: consultation, travel planning, placement, and post-return follow-up
Related Treatment Pages
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Frequently Asked Questions About Gastric Balloon Turkey Cost
This FAQ addresses the most common questions international patients have about intragastric balloon treatment in Turkey: pricing structure, balloon types, recovery expectations, safety, and how to evaluate packages properly.
How much does a gastric balloon cost in Turkey in 2026?
Gastric balloon pricing in Turkey starts from approximately €2,000 for a standard intragastric balloon (such as Orbera) and can reach €3,200 or more for dual-balloon systems or premium adjustable models. The final cost depends on the balloon type selected, hospital facility level, pre-operative testing scope, and the depth of the included dietitian follow-up programme. A personalised quote is confirmed after clinical evaluation of your BMI, health status, and weight-loss targets.
Is a gastric balloon a surgical procedure?
No. The gastric balloon is a non-surgical weight-loss intervention. Most balloon types are placed endoscopically under light sedation through the mouth, with no incisions, no stapling, and no permanent changes to the digestive anatomy. The Elipse capsule balloon goes further by eliminating even the endoscopy: it is swallowed as a capsule, filled under fluoroscopic guidance, and later self-deflates and passes naturally.
How much weight can I realistically lose with a gastric balloon?
Most patients lose between 10 and 15 percent of their total body weight during the balloon period, which typically translates to 20-30 kg over six months. Results depend heavily on adherence to the accompanying dietitian programme, commitment to portion control, and lifestyle changes adopted during treatment. The balloon is a tool that amplifies dietary discipline; it is not a standalone solution.
What is the difference between Orbera, Spatz3, and Elipse balloons?
Orbera is a fixed-volume silicone balloon placed endoscopically for six months. Spatz3 is an adjustable balloon that can be inflated or deflated during treatment and may remain for up to twelve months, making it suitable for patients who need longer support or who experience early intolerance. Elipse is a swallowable capsule balloon requiring no endoscopy for either placement or removal, self-deflating after approximately four months. Your gastroenterologist should recommend the best option based on your clinical profile.
How long do I need to stay in Turkey for gastric balloon placement?
Most international patients stay 2-3 days in Istanbul. Day one typically involves pre-operative tests and consultation. The balloon is placed on day two (taking approximately 20-30 minutes), with same-day or next-morning discharge. Some patients prefer an extra night for comfort during the initial adaptation period before flying home.
What happens during the first week after balloon placement?
The first 3-5 days are the adaptation period. Nausea, cramping, and occasional vomiting are common as the stomach adjusts to the balloon. Prescribed anti-nausea medication helps manage these symptoms. You will follow a clear-liquid diet initially, progressing to pureed foods and then soft foods under dietitian guidance. Most patients feel significantly better by the end of the first week.
Is the balloon removal included in the package price?
This varies by provider. Some packages include both placement and removal endoscopy in the quoted price, while others bill removal separately. Always confirm this before booking. For Elipse swallowable balloons, removal endoscopy is not needed because the device self-deflates and passes naturally, which can offset the higher initial device cost.
Can a gastric balloon help me before bariatric surgery?
Yes. For patients with a very high BMI (above 50), a gastric balloon can serve as a bridge treatment, helping reduce weight and associated surgical risks before a definitive procedure such as gastric sleeve or gastric bypass. This staged approach is a recognised clinical strategy that can improve surgical outcomes and reduce anaesthesia-related complications.
Why is a gastric balloon cheaper in Turkey than in the UK or USA?
Lower operating costs, favourable currency exchange rates, high-volume international patient workflows, and competitive market dynamics in Istanbul all contribute to lower pricing. However, a lower price does not automatically mean lower quality. Many Turkish hospitals maintain international accreditation standards and offer comprehensive aftercare programmes. Compare the total value including dietitian support, not just the procedure fee.
What are the risks of a gastric balloon?
Common side effects include nausea, vomiting, and abdominal cramping during the first few days, which are managed with medication. Rare but serious complications include spontaneous balloon deflation, balloon migration, gastric ulceration, oesophageal injury during placement, and pancreatitis. These risks are minimised through proper patient screening, experienced endoscopists, and structured monitoring protocols. A trustworthy clinic will explain all risks clearly before obtaining your consent.
Get a Personalised Gastric Balloon Plan Before You Travel
Share your BMI, health history, and weight-loss goals to receive an initial eligibility assessment, balloon-type recommendation, estimated pricing, and package details. This enables you to compare providers based on clinical quality and aftercare depth rather than headline price alone.
What Happens Next?
- BMI review and initial eligibility assessment
- Balloon type recommendation matched to your health profile
- Written package details with clear inclusions and pricing
- Q&A session before any booking commitment
Content verified for accuracy by board-certified specialists at our JCI-standard partner facilities. Individual results may vary.
Risks & Safety Information
Bariatric surgery has been shown to reduce overall mortality by 40% in obese patients and significantly improve or resolve obesity-related conditions including type 2 diabetes, hypertension, sleep apnea, and joint disease.
- ⚠ General surgical risks: infection, bleeding, blood clots (minimized with laparoscopic technique)
- ⚠ Nutritional deficiencies requiring lifelong vitamin supplementation
- ⚠ Dietary adjustment period with nausea or food intolerances
- ⚠ Psychological adjustment to new eating patterns and body image
- ⚠ Procedure-specific risks vary (discussed individually for sleeve, bypass, or balloon)
All bariatric procedures are performed in Ministry of Health-approved hospitals with dedicated bariatric surgery departments, ICU facilities, and experienced multidisciplinary teams (surgeon, anesthesiologist, nutritionist, psychologist).
Recovery Timeline
Hospital stay with medical monitoring. Liquid diet begins. Early walking.
Progressive diet advancement. Gradual return to activities. Rapid weight loss begins.
Peak weight loss period. Regular follow-up with nutritionist. Exercise routine established.
Who Is a Good Candidate?
✔Good Candidates
- BMI 35+ (or BMI 30+ with obesity-related health conditions)
- Failed attempts at sustained weight loss through diet and exercise
- Commitment to long-term follow-up and lifestyle changes
- Age 18–65 with acceptable surgical risk
✖Not Recommended For
- Active substance abuse or untreated eating disorders
- Severe psychiatric conditions without adequate support
- Medical conditions making surgery too risky
- Unwillingness to commit to dietary and lifestyle modifications
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