Medical Weight Management

A comprehensive medical weight management programme combining metabolic assessment, personalised treatment planning and ongoing support. Options include GLP-1 medications (semaglutide, liraglutide), dietary counselling and monitoring of metabolic markers throughout the programme.

Medical weight management at Pulse Clinic Singapore takes a whole-body, clinically led approach that goes beyond simple calorie counting or prescribing medication without context. The programme is built around understanding why a patient is overweight — whether the dominant drivers are hormonal (low testosterone, thyroid dysfunction, insulin resistance), behavioural, or a combination — and designing an intervention that addresses root causes rather than symptoms alone. The process begins with a comprehensive medical consultation. The doctor takes a detailed history of the patient's weight trajectory, diet, activity levels, sleep quality and any previous attempts at weight loss. A full metabolic blood panel is ordered, including fasting insulin and glucose (to calculate HOMA-IR as a measure of insulin resistance), HbA1c, full lipid panel, liver function tests, thyroid function (TSH, free T4), and for men over 35, total and free testosterone — since low testosterone is associated with increased visceral adiposity and is both a cause and consequence of obesity. Treatment options are then discussed collaboratively with the patient. GLP-1 receptor agonists (semaglutide or liraglutide) represent the most clinically effective pharmacological option for most patients and form the cornerstone of the clinic's medical weight management approach. For patients with significant insulin resistance or pre-diabetes, metformin may be considered as an adjunct. For men with confirmed low testosterone, addressing hypogonadism through TRT alongside a weight management programme can significantly improve body composition outcomes, as testosterone plays a key role in muscle-to-fat ratio. Dietary and lifestyle guidance is integrated throughout. The clinic works with patients to set realistic goals — typically 5–10% of body weight over the first three to six months as an initial target, with ongoing progress thereafter. Regular monitoring appointments track weight, waist circumference and metabolic markers to assess both efficacy and safety, and to guide dose adjustments or programme modifications. The clinic provides a private, non-judgmental environment that is particularly welcoming to patients who have previously found weight discussions difficult in mainstream clinical settings, including gay men and transgender patients whose body image concerns may intersect with their health goals.