Doctor-supervised weight management: full assessment, meal planning and medication when criteria are met
Structured weight loss under a doctor's care, from body composition and blood tests to a meal plan you can realistically follow and GLP-1 injections for those who meet the criteria. Follow-up every 2–4 weeks. The goal is to lose fat while preserving muscle.
Why lose weight with a doctor
Excess weight is rarely a matter of willpower alone. It involves hunger hormones, sleep, stress, medication, insulin resistance, thyroid function and genetics. Dieting on your own often costs muscle, slows the metabolism and leads to rapid regain. Our programme starts by finding out what is keeping your weight stuck, then builds a plan that fits your real life. A realistic, sustainable goal is around 0.5–1 kg a week, or 5–10% of body weight over 3–6 months, which is enough to meaningfully improve blood pressure, blood lipids and blood sugar. Medication is only one tool; the doctor uses it when the benefit clearly outweighs the side effects and cost.
How the programme works
GLP-1 injections the doctor may consider
| Drug (generic name) | How it is used | Results reported in studies | Notes |
|---|---|---|---|
| Liraglutide | Injected under the skin once a day, starting low and increasing weekly | Average weight loss of around 5–8% at 1 year | Long established, with extensive long-term data. Daily injection |
| Semaglutide | Injected under the skin once a week, dose increased every 4 weeks | Average weight loss of around 10–15% at 68 weeks | Convenient weekly dosing. Nausea during dose increases is common |
| Tirzepatide | Injected under the skin once a week, dose increased every 4 weeks | Average weight loss of around 15–20% at 72 weeks | Acts on 2 receptors (GIP/GLP-1). Higher cost |
Common effects are nausea, bloating, constipation or diarrhoea, reduced appetite and tiredness during dose increases, mostly easing within 2–4 weeks with slow titration and smaller meals. Tell the doctor immediately about severe abdominal pain radiating to the back (pancreatitis), pain under the right ribs or yellowing (gallstones), or vomiting to the point of dehydration. Not for women who are pregnant, breastfeeding or planning pregnancy within 2 months, anyone with a personal or family history of medullary thyroid cancer or MEN2, or pancreatitis, and used with caution in anyone with a history of eating disorders. These are not cosmetic slimming drugs for people of normal weight, and stopping without changing habits usually leads to partial regain
What else the programme covers
Preserving muscle mass
Protein at 1.2–1.6 g per kg of body weight a day and resistance training 2–3 times a week, so the metabolism does not slow as you lose weight
IV vitamins when needed
When appetite is low because of the medication, the doctor may give IV fluids and B vitamins to reduce tiredness. This is not a slimming formula
Medication and conditions that cause weight gain
Review of existing medication such as psychiatric drugs, steroids and contraceptives, and screening for thyroid problems, insulin resistance and PCOS
Prices
| Initial assessment and metabolic blood tests 60-minute doctor consultation, body composition, basic blood panel, individual meal plan | [ ] |
| Follow-up, per visit Body composition, medication and plan adjustment, every 2–4 weeks | [ ] |
| GLP-1 injections, per month Price depends on the drug and dose. The doctor states the full course cost before starting. Prescribed only to those who meet the criteria | [ ] |
| IV fluids and vitamins Only when the doctor considers them necessary | [ ] |
Frequently Asked Questions
Who qualifies for weight-loss injections?
People with a BMI of 30 or above, or 27 or above with a related condition such as diabetes, high blood pressure, high cholesterol or sleep apnoea, and no contraindications. The doctor assesses and explains first. People of normal weight who simply want to be slimmer do not qualify.
Will I regain weight when I stop the medication?
Partial regain is possible. Studies show weight tends to return within a year of stopping if habits do not change. The programme therefore builds eating and exercise habits from the start and reduces the medication in steps.
How long will I need the medication?
Most people need 6–12 months or more to see the full result, and some need long-term maintenance doses. The doctor reviews you every 2–4 weeks and discusses the plan for stopping from the beginning.
My face looks gaunt and my skin is loose after losing weight. What can I do?
This is common with rapid loss. The programme keeps the rate sensible and preserves muscle. For loose skin on the face and body, Dr. Kate can treat with RF, HIFU or collagen stimulators as appropriate.
Can I just buy the injections?
No. These are prescription medicines that require screening for contraindications, step-by-step dose adjustment and monitoring for side effects. Products from unregulated sources carry the risk of counterfeits and incorrect dosing.
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