“Why optimise before surgery?”
Better-controlled weight, glucose and sleep measurably lower surgical risk and improve recovery — it's worth the weeks it takes.
ABOUT COMPLEX WORKUP
Metabolic institute
Complex workup.Metabolic · Istanbul
A complex revision deserves to be optimised before anyone operates.
Pre-surgical metabolic optimisation for complex and revision cases — getting weight, sugar and sleep in the best possible shape so the next intervention has the best possible odds.
The everyday winSleep through the night
Board response in 72h
What's different here
Optimisation is treated as part of the surgery — the board hands the surgeon a patient in the best possible shape.
Free first review · fixed written plan · no records needed to start
Est. 1994 · BHT Clinic, IstanbulJCITEMOS
24 h
Senior consultant first-read of your records
72 h
Written, named board opinion
1
Consultant owns the case, start to finish
€0
Cost of the board's first review
What brings people to us
Complex workup.
Sound familiar?
You don't need a diagnosis to start — the board reads your records and answers in writing. These are the situations that usually bring people to this page.
Facing complex or revision surgery
Metabolic factors raising your surgical risk
Sleep apnoea complicating the picture
Wanting to be optimised before you proceed
How we treat it
Complex workup,
owned by one consultant.
Optimisation is treated as part of the surgery — the board hands the surgeon a patient in the best possible shape.
1FIRST READ
Map the risk
Full metabolic and sleep assessment to find what's raising surgical risk.
2OPTIMISE
Pre-surgical work
Targeted weight, glucose and sleep management before the operation.
3HANDOVER
To the surgical team
A clear, written optimisation summary handed to the operating surgeons.
Before you decide
Complex workup — the questions we're asked.
If your question isn't here, ask it directly — a human replies in minutes, in 8 languages.
“What happens after I fly home?”
The follow-up plan — nutrition, bloods, reviews — is written before the operation and runs on protected video calls. Weight regain is managed, not blamed.
FOLLOW-UP WRITTEN FIRST
“What does it cost to find out?”
Nothing. The board's first review is free, and the programme is quoted as one fixed, written figure — surgery, follow-up and reviews included.
FREE FIRST REVIEW · FIXED PLAN
Where it happens
Often seen alongside
Most cases cross institutes. These often travel together — and the board reads them as one case.
Metabolic
Complex workup.
A named opinion in 72h.
Send what you have — scans, letters, or just the story so far. A senior consultant first-reads within 24 hours; the board answers in writing within 72 hours of your records being complete — free, before you commit to anything.
Free first review · fixed written plan · no records needed to start
JCITEMOS
A senior consultant owns your case from the first read
A written, named board opinion within 72 hours
A medically-trained case-manager for the whole pathway
A fixed, written plan before anything is scheduled
JCI AccreditedTEMOS CertifiedBHT Clinic · IstanbulEst. MCMXCIV