Can it be used upside down?

You can use both sides. So upside down would be for mountain climbers, planks and a ton of other exercises.

How does this compare to the Elite grey model?

This model has the feel you would expect from the normal BOSU Balance Trainer, with added benefit of the textured grip and visual aid of the markings. The Elite is a much firmer dome for higher impact type exercises, and less of a balance challenege.

Model Number	72-10850-PNG
Color	blue
Size	65CM
Material	Polyvinyl Chloride (PVC)
Sport Type	Exercise & Fitness
Batteries Included	No
Maximum Weight Recommendation	136.08 kg
Product Dimensions	63.5 x 63.5 x 21.59 cm; 7.35 kg

BOSU NexGen 25インチ ホームフィットネス エクササイズ ジム 強度 柔軟性 バランストレーナー ゴム引き滑り止め表面とハンドエアポンプ付き

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BOSU NexGen 25インチホームフィットネスエクササイズジム強度柔軟性バランストレーナーゴム引き滑り止め表面とハンドエアポンプ付き