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Providing medical procedures, namely endoscopy; providing surgical procedures, namely transoral outlet reduction endoscopic procedures and Roux-en-Y gastric bypass procedures; medical services, namely, performing endoscopy; performing Roux-en-Y bypass (RYGBP) laparoscopic surgical procedures; medical services, namely, performing transoral outlet reduction endoscopy; performing transoral outlet reduction (TOR-e) endoscopic medical procedures for use in weight loss treatment