Medical Weight Management Consultation

Specialist physician-led weight management consultation assessing metabolic health, body composition, hormonal drivers of weight gain, and evidence-based treatment options including lifestyle intervention, pharmacotherapy, and referral to bariatric surgery where appropriate.

The Medical Weight Management Consultation at The Metabolic Clinic provides a structured, evidence-based framework for individuals seeking to address obesity and weight-related metabolic conditions under specialist medical guidance. Unlike general practitioner weight loss advice, this service is delivered by a physician with specialist training in obesity medicine and endocrinology, enabling accurate diagnosis of underlying metabolic contributors to weight gain. The initial consultation (approximately 45 minutes) begins with a detailed clinical history covering weight trajectory, dietary patterns, physical activity levels, sleep quality, stress exposure, medications that may promote weight gain (such as antidepressants, corticosteroids, or antipsychotics), and a review of prior weight loss attempts. Body composition is assessed, and relevant investigations ordered to rule out secondary causes of obesity including hypothyroidism, Cushing's syndrome, PCOS, and insulinoma. Based on this assessment, the physician builds an individualised treatment plan. For patients with a BMI of 23 or above alongside metabolic comorbidities, pharmacotherapy with GLP-1 receptor agonists may be recommended. For patients earlier in their journey, a structured lifestyle intervention combining caloric deficit nutrition planning and progressive physical activity targets is prescribed. For those with severe obesity (BMI 37.5+ or 32.5+ with comorbidities), referral to bariatric surgery evaluation is discussed. The clinic adopts a non-stigmatising, compassionate approach that recognises obesity's multifactorial aetiology — encompassing genetic, hormonal, environmental, psychological, and social factors — and avoids attributing weight gain solely to willpower deficits. This approach aligns with international obesity guidelines from the World Obesity Federation and the Obesity Medicine Association. Follow-up consultations review progress, adjust interventions, and address barriers to treatment adherence. The clinic works collaboratively with registered dietitians, psychologists, and other specialists to deliver holistic care.