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Splitting is an off-label deviation that requires provider guidance
The question is: does your plan design support the conditions that make them work long-term

There are many surgical options, including: Gastric sleeve Gastric bypass Duodenal switch Endoscopic sleeve gastroplasty Revision surgeries These procedures are supported by expert care teams, robust pre- and post-surgical education and long-term follow-up to help you stay on track

Both are available only under specialist supervision and require ongoing lifestyle support through NHS weight-management pathways
