Holistic Health / Weight Management
Weight is a medical question.
A medical consultation about weight and relevant health factors. Depending on clinical need, dietary approaches, intermittent fasting, medication, blood tests, or fatty liver assessment may be discussed.
Book a consultationServices available
What the service includes
A medical plan for weight and metabolic health.
The programme is tailored after reviewing your health history, current weight pattern, medications, lifestyle, and relevant metabolic risks.
Metabolic Screening
Personalised Dietary Guidance
Intermittent Fasting Optimisation
Fatty Liver Grading
Liver Scanning
A different starting point
Weight is influenced by multiple factors, including dietary intake, physical activity, hormones, metabolism, sleep, stress, medications, and individual health conditions.
Weight is influenced by many interacting factors: hormones, metabolism, sleep, stress, medication, menopause, PCOS, fatty liver, and more. Understanding these factors helps explain why simple advice is often not enough.
Understanding weight
How weight can be assessed medically
Medical assessment of weight may include dietary habits, physical activity, medical history, laboratory findings, and other factors relevant to the individual.
Step 01
Assess
What factors may be involved?
Useful information may include metabolic markers, hormones, body composition, blood pressure, and medical or lifestyle history.
- Thyroid function
- Insulin resistance markers
- Additional investigations where clinically indicated
- PCOS screening (where indicated)
Step 02
Understand
What results may suggest
Results can help distinguish modifiable contributors from background risk, and clarify which changes are most relevant.
- Plain-language results review
- Review of contributing factors
- Realistic outcome setting
Step 03
Plan
Possible areas for change
Depending on the situation, relevant topics may include diet, activity, behaviour, supplements, medication options, fasting, or follow-up testing.
- Recommendations based on clinical findings
- Supplement advice where relevant
- Follow-up if clinically indicated
Key concepts
Three pillars of metabolic health
Metabolic screening
Blood tests can help investigate contributors such as thyroid, insulin, cortisol, and sex hormone changes.
Dietary guidance
Dietary approaches should account for preferences, schedule, culture, and metabolic context.
Long-term monitoring
Long-term monitoring may involve reviewing progress, repeating key markers, and adjusting goals as circumstances change.
Spotlight topic
Intermittent fasting: useful, but not universal
Intermittent fasting is one dietary approach that has been studied in metabolic health. Suitability varies between individuals. It is also easily misapplied — particularly for people with blood sugar dysregulation, thyroid conditions, or high cortisol.
Suitability matters. Common formats include 16:8, 5:2, alternate-day, or custom windows, but health profile and lifestyle affect what is appropriate.
16:8
Daily 16-hour fast with an 8-hour eating window
5:2
Two low-calorie days per week, five normal days
OMAD
One meal a day — not suitable for many people
Custom
Adjusted around work, sleep, health risks, and goals
Often overlooked
Fatty liver grading & liver scanning
Non-alcoholic fatty liver disease (NAFLD) is closely linked to obesity, insulin resistance, and metabolic syndrome. It can be silent, so liver health is often relevant when thinking about metabolic risk.
- Liver function tests and metabolic panel
- Assessment of fatty liver using appropriate clinical evaluation and imaging where indicated
- Ultrasound liver scanning where appropriate
- Results interpreted in context of your full metabolic profile
- Further investigation may be needed in some situations
A realistic view
Weight management is rarely a quick fix. The useful question is often why previous attempts have been difficult.
Helpful plans are usually built on accurate information, realistic targets, and adjustment over time.
Medication is not suitable for everyone and should be considered only after benefits, risks, and criteria are understood.
Sustainable change is usually gradual. Promises of effortless results should be treated cautiously.
Common questions
What patients usually ask
A referral is generally not required. Existing blood results or medical records relevant to weight can be useful.
A consultation may include medical history, current health, weight-related concerns, and whether blood tests are relevant.
Medication suitability depends on clinical assessment. Examination or blood tests may be needed before prescribing.
No. Intermittent fasting is contraindicated in certain conditions, including some thyroid disorders, adrenal dysfunction, and a history of disordered eating. It may require careful monitoring in other situations.
Get started
Ready to understand what is actually going on?
Discuss medical factors that may affect weight. Testing and recommendations depend on individual clinical circumstances.