My daughter is obese weight 110 kg , age 19

• You should approach a nutritionist/dietician regarding her first and put her on dieting & lifestyle modifications.
• Once it's ruled out that they aren't yielding desirable results, then she can move on to endoscopic procedures or other weight-loss surgeries, they are only concerned with limiting food intake, and are as mentioned below:
  • Gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch -- but the doctor will determine whether she's eligible or not, depending on her health background and pace of weight loss.
• The doctor shall guide on everything, just make them aware of her expectations, limitations and pre-existing health conditions as they could limit certain options and the dietician would have an easier way of providing realistic goals.
   

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