Begin your weight loss journey with us

1. Clinical Measurements

Your nurse will begin by taking baseline health measurements. These include:

• Weight and Height: To calculate your current Body Mass Index (BMI).
• Waist Circumference: To assess abdominal fat distribution, which impacts health risks.
• Blood Pressure: To check your cardiovascular baseline, as some medications can affect blood pressure.
• Body Composition Analysis.

2. Medical History Review

Weight loss medications interact with your overall health. Your doctor will review:

• Existing Conditions: Especially Type 2 diabetes, heart conditions, kidney issues, or a history of pancreatitis. Obstructive Sleep Apnoea, Polycystic Ovarian Syndrome, Skin Disease
• Current Medications: To check for potential drug interactions.
• Pregnancy Status: GLP-1 medications are not safe during pregnancy or breastfeeding, and must be stopped ahead of trying to conceive.
• Any planned surgery involving a general Anaesthetic (GLP1 medication has to be
  stopped).
• Mental Health: A brief discussion about your relationship with food and emotional well-
  being.

3. Diagnostic Blood Tests

Before any weight loss medication can be prescribed, you may require a blood test (or your doctor will review recent results). This checks:

• HbA1c: To screen for undiagnosed pre-diabetes or Type 2 diabetes.
• Kidney & Liver Function: To ensure your body can safely process the medication.
• Thyroid Function: To rule out an underactive thyroid as an underlying cause of weight gain.
• Lipid Profile: To assess cholesterol levels.

4. Discussing Your Options

Your doctor will explain the different types of medication available, how they work, and their delivery methods:

• GLP-1 / GIP Injectables (e.g., Mounjaro, Wygovy): Weekly injections that mimic gut hormones to reduce appetite and slow digestion.
• Oral Medications (e.g., Rybelsus, Wygovy): Oral weight loss tablets must be taken exactly as directed by your doctor to ensure they work effectively and safely.

5. Creating a Lifestyle Foundation

Medication is a tool to support you, not a standalone cure. Your doctor will discuss the lifestyle changes that must accompany the treatment:

• Optimising your dietary intake (focusing on high-protein and nutrient-dense foods).
• Incorporating strength and resistance training to preserve muscle mass during weight loss.
• Setting realistic, sustainable health and lifestyle goals.

6. Next Steps and Agreement

If you choose to proceed following your consultation, your doctor will provide a personalised monitoring plan, including regular check-ins to review progress, manage side effects, and adjust your medication as needed.