Gastric Balloon and Weight Loss Injections: A "Dual Effect" on Weight Loss

Sometimes, a single method may not be enough on your weight loss journey, or you may want to accelerate the process. This is where two powerful tools offered by modern medicine join forces: the Gastric Balloon and weight loss injections. While the gastric balloon physically occupies space in your stomach and reduces portion sizes, increasingly popular weight loss injections (GLP-1 agonists) hormonally suppress your appetite by sending an "I'm full" signal to your brain. So, what happens when these two different mechanisms are combined? The result can be far greater than what either method could achieve on its own.

Combining Mechanical and Hormonal Effects: 1+1 Is Greater Than 2

The logic behind this combination is actually very simple, yet highly effective. The gastric balloon creates volume inside your stomach and restricts food intake "mechanically"; in other words, even if you want to, you cannot eat as much as you used to. Weight Loss Injections provide "hormonal" support by slowing gastric emptying and suppressing the hunger center in the brain. Using these two methods simultaneously creates a "synergistic" effect. In other words, while the balloon reduces the amount of food on your plate, the injections help you feel full for hours after eating that smaller portion. This dual approach can become an excellent strategy, particularly for overcoming stubborn weight loss plateaus.

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What Do the Numbers Say? The Results Are Surprising

Research has revealed striking findings. In a comprehensive study conducted in 2025, participants who received only a gastric balloon lost an average of 15.56 kg after 12 months, while those who received both gastric balloon and injection therapy achieved a weight loss of 33.03 kg. The difference was almost twofold.

In another study, the percentage of excess weight lost reached 86% among individuals receiving combination therapy, while this figure remained around 71% among those who used only the balloon. Moreover, around the time the balloon was removed, participants who relied solely on the balloon began regaining some of the weight they had lost, whereas the group receiving injection support continued to lose weight.

Could It Help Prevent the "Yo-Yo" Effect After Balloon Removal?

One of the biggest concerns among gastric balloon patients is: "What if my appetite increases after the balloon is removed and I regain the weight?" This is where Weight Loss Injections can play a "rescue" role. Continuing injection therapy after the balloon is removed from the stomach can help maintain weight loss, or even support further weight loss, by controlling sudden increases in appetite.

Research shows that individuals who use these injections after balloon removal are considerably more successful at maintaining their weight and continue to reduce their body fat percentage compared to those who do not use them. In other words, while the balloon provides the initial boost, the injections offer the continuity needed to reach the finish line.

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How Does the Process Work and What Should You Consider?

It is important to remember that this process is a medical treatment, not an adventure. Treatment must be carried out under the supervision of a specialist physician and dietitian. The dosage and frequency of injections are determined entirely according to your individual needs by your doctor.

Since both the balloon and the injections slow stomach movements, symptoms such as nausea may be somewhat more intense, particularly at the beginning of treatment, compared to using the balloon alone. However, there is no need to worry, as these effects are generally temporary and can be managed with supportive medications prescribed by your doctor. Remember, this is not a "magic wand"; it is a powerful tool that can transform your life when combined with healthy eating and physical activity.

References

  • Badurdeen, D., Hoff, A. C., Barrichello, S., Hedjoudje, A., Itani, M. I., Farha, J., ... & Kumbhari, V. (2021). Efficacy of liraglutide to prevent weight regain after retrieval of an adjustable intra-gastric balloon—a case-matched study. Obesity Surgery, 31(3), 1204-1213.

  • Barakat, K. E., Abuhasan, D. K., Asal, M. F., Elsayed, A. A. R., Mahmoud, M. R., Guy, M., Safadi, R., & Basson, M. D. (2025). Adjunctive Semaglutide in Patients Undergoing Intragastric Balloon for Weight Loss: 12-Month Prospective Comparative Study. Obesity Surgery, 35, 5398–5409. https://doi.org/10.1007/s11695-025-08368-5

  • Hoff, A. C., Barrichello, S. A., Galvão Neto, M., Grecco, E., Bezerra, L., & Nunes, G. C. (2021). Combination of Intragastric Balloon and Liraglutide: Short-Term Results. EC Gastroenterology and Digestive System, 8(3), 124-131.

  • Mosli, M. M., & Elyas, M. (2017). Does Combining Liraglutide with Intragastric Balloon Insertion Improve Sustained Weight Reduction? The Saudi Journal of Gastroenterology, 23(2), 117-122.

  • Yilmaz, A., Hanlioğlu, S., Demiral, G., & Karatepe, O. (2023). The efficacy of liraglutide combined with intragastric balloon on weight loss. Revista da Associação Médica Brasileira, 69(12), e20230571.

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Assoc. Prof. Dr. Ozan Şen - Obesity and Diabetes Surgery
Prof. Dr.

Ozan ŞEN

Obesity & Diabetes Surgery

Focused on bariatric and metabolic surgery; diagnosis, treatment and multidisciplinary follow-up in sleeve gastrectomy, gastric bypass and type 2 diabetes surgery.

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