Treatment · ExoTMS®

TMS for binge eating

ExoTMS® has been studied for reducing binge eating episodes, in a study published in 2025 using the same device used at AlmaraClinic. Integrated with nutrition and psychology, as part of multidisciplinary clinical follow-up.

Treatment depends on eligibility and a medical prescription, following the TMS Assessment Consultation.

Relaxed patient during an ExoTMS® session, in a bright room at AlmaraClinic
Clinical studies

Results in published studies.

Response means a clear improvement in symptoms. Remission means the absence of significant symptoms.

74%

remission at 1 month

Participants in the no binge eating category of the BES scale, one month after treatment.

48%

reduction on the BES scale

Average reduction in binge eating severity at 1 month.

90%

with fewer cravings and less snacking

Participants who reported fewer food cravings and less urge to snack during the day (89.5%, questionnaire at 1 month).

Pánek D, Donchev TS. ExoTMS transcranial magnetic stimulation for the reduction of binge eating symptoms. PCN Reports, 2025;4(3):e70200. 38 participants, 6 sessions, 2 per week; open-label pilot study, no control group, funded by the manufacturer.

Studies use different transcranial magnetic stimulation devices and protocols. Results vary from person to person and are assessed by the doctor throughout treatment.

Indication

Who it may be suitable for.

Eligibility is assessed by the clinical director, Dr. Bruno Gomes, at the TMS Assessment Consultation: review of previous tests and clinical history, analysis of contraindications and, if in doubt, ordering of tests.

Contraindications and side effects
  • Recurrent binge eating episodes, with loss of control.
  • Guilt or discomfort after episodes.
  • Nutrition and psychology follow-up that needs reinforcing.
  • Aged 18 and over, after the TMS Assessment Consultation.
The treatment

Non-invasive, no anaesthesia, outpatient.

You resume your routine straight after each session. You are followed by our clinical team, session after session.

Sessions per cycle

6 to 30

As medically prescribed.

Length of each session

18.5 to 24.5 min

According to the indicated protocol.

Times per week

2 to 5

With medical reassessment throughout the course.

How to start

From your arrival at AlmaraClinic to your treatment.

Discover NeuroCheck
  1. NeuroCheck, free of charge

    Information session with our Patient Care team: the treatment, the options, the fees and the best schedule.

  2. TMS Assessment Consultation

    The eligibility of your clinical case for TMS is assessed with the clinical director.

  3. Personalised plan

    With the medical prescription: protocol, number of sessions and frequency.

  4. Follow-up

    You are followed by our clinical team, session after session.

Fees

Fees and terms.

Assessment

TMS Assessment Consultation

100 €

With the clinical director, Dr. Bruno Gomes.

Treatment

Standard protocol

24.5 minute sessions

As part of a treatment protocol, from€200 per session

Single session
350 €
Treatment

Intensive protocol

18.5 minute sessions

As part of a treatment protocol, from€100 per session

Single session
200 €

The protocol and the fee per session are defined in the plan, after the TMS Assessment Consultation. Payment in up to 12 interest-free instalments with Cofidis Pay. See terms

Does TMS replace nutrition and psychology?

No. For binge eating, TMS is part of a plan with clinical nutrition and clinical psychology.

How many sessions were used in the study?

The published study used 6 sessions, 2 per week. At AlmaraClinic, the number of sessions is set in the medical prescription.

Is it for weight loss?

The aim of the treatment is to reduce binge eating episodes. It is not a weight loss treatment.

Does insurance provide reimbursement?

Reimbursement depends on your insurer and your policy. Check with your insurer; if needed, we can help with the paperwork.

Can I pay in instalments?

Yes. Up to 12 interest-free instalments with Cofidis Pay.

See terms
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