Answers from every department

Frequently asked questions

We have brought together the questions from every published specialty so you can find the answer in one place.

Department 01

Clinical & Therapeutic Nutrition

A plan based on a proper consultation, not a ready-made diet sheet

A full medical assessment using the InBody device to determine your fat, muscle and water percentages and your measurements; body-contouring measurements to track progress; a full consultation with a specialist-grade clinical and therapeutic nutrition physician who reviews your labs and medical history; and the setting of the plan that suits your case: whether that is a nutrition plan, sessions or injectable therapy.

If you have recent labs, bring them, it saves time. If you do not, the doctor will specify what is needed after the consultation. If the plan will include weight-loss injections, there is a baseline panel we ask for first: CBC; TSH, FT3 and FT4; urea and creatinine; AST and ALT; HbA1c and fasting blood sugar.

No. No single plan works for everyone. The plan is built after we understand your body composition, your medical history and the real shape of your day, and it is adjusted every week according to how you responded and to what you were actually able to keep to.

The scale gives you one number. A body-composition analysis tells you what that number is made of: how much is fat, how much is muscle, how much is water. This matters because losing muscle looks like success on the scale while in fact it slows your metabolism and makes the weight come back. We follow composition, not the number.

Weekly follow-up is what keeps the plan alive and adapting to your body. A gap of more than a week counts as a new consultation, because the situation will have changed and needs assessing again from the start.

Start with one household change: more regular meal times, accessible water, vegetables or fruit with meals, and a suitable protein source. Do not put every age on one diet; children, pregnancy and chronic illness have different needs, and a medical condition requires an individual plan.

It depends on your food, age, symptoms, pregnancy or breastfeeding, health conditions, medicines and sometimes tests. A supplement is not universal insurance, and excess amounts of some nutrients can harm, so review the need and dose instead of starting a random collection.

Yes. Choose a meal with a protein source and vegetables, ask for sauces and extras separately, and decide the portion before eating from a large container. Review your repeated orders; improving the usual choice matters more than finding a perfect meal every time.

Department 02

Weight Management & Non-surgical Alternatives

Weight-loss injections under medical supervision, with weekly follow-up

The options we use are medically approved and widely used. But the real safety comes from how they are used: a dose titrated gently, baseline labs before starting, and weekly follow-up. Some cases are ruled out after the consultation and the labs, pregnancy and breastfeeding among them.

Yes, there is more than one medically approved option, and they differ in how they work and in their effect on appetite and on insulin resistance. Choosing between them is not a general rule and not something to settle online: it is decided at the consultation from your case, your labs, your history and how you respond to the first doses.

For some cases they can be a suitable alternative, but not for every case: weight loss with injections is usually smaller than with surgery, and the decision depends on the degree of obesity and any associated conditions. At the consultation we assess the degree of obesity, your health status and your history, and if your case genuinely needs surgery we will say so and refer you to the bariatric surgery department.

It comes back if nothing else has changed. That is why we never give the injections on their own: they always run alongside a nutrition plan and weekly follow-up, and then a maintenance plan. The injections help you through the hard stage; what holds the result is the habits built along the way.

The most common side effects are digestive: nausea, feeling full early, constipation or diarrhoea, and sometimes vomiting. They tend to appear in the first days of each new dose and, for many people, ease with time. That is why the dose is stepped up gently rather than jumped, and why the weekly follow-up is there: we hear how you are doing and adjust the plan. If you have persistent vomiting, severe abdominal pain or signs of dehydration, do not wait for the follow-up appointment: seek medical care straight away.

Yes, and it is not a formality. The labs show the thyroid, sugar, liver and kidney picture, and they often reveal the reason the weight was stuck in the first place. If you have recent results, bring them and we will review those rather than repeat them.

The rate differs from person to person with the starting point, the labs and how the plan is followed, and any guaranteed number quoted before a consultation is not an honest one. What we aim for is loss that is steady and comes from fat rather than muscle, and that is what the weekly follow-up measures.

Exercise is not a condition for the weight to come down, but it is what protects muscle and makes the final result look better. We start from what your life actually allows, even if that is a short walk, and build gradually. A plan you cannot follow is not a plan.

No. This is a prescription treatment with follow-up, and the consultation is what decides whether it suits you at all, which option and which dose. That step is not paperwork: it is what makes the treatment safe.

There is no single schedule for every medicine or person. An increase depends on the active ingredient, current dose, time on it, response and side effects. Do not raise the dose or shorten the interval yourself; agree the next step with the prescriber before the following dose.

The correct action depends on the injection and how much time has passed, so check its instructions or contact the prescriber or pharmacist. Do not take two doses together or guess a new schedule.

An option may be suitable, or it may not be, depending on the diagnosis, stability of the condition, current blood pressure and other medicines. Do not start before a clinician reviews the full list. Chest pain, breathlessness or marked palpitations needs prompt assessment, not a new medicine.

Department 03

Body Contouring

Injections for stubborn localised fat, with no surgery and no downtime

No, and it is the most important question. Mesotherapy works on the stubborn localised fat that the body leaves until last, not on total weight. If your case needs weight loss, the consultation will say so plainly and we will start there.

Most people feel a brief light sting during the injections, and the session itself is short. Afterwards there may be mild soreness, bruising or swelling at the site for some days, and this is explained in detail at the consultation before you start.

Most people go back to work and their usual day after the session. If there is swelling or bruising, you may need to avoid strenuous exercise or pressure on the area for a short time, and the doctor will give you the instructions that fit your case.

We review after four to six weekly sessions. The change shows in your measurements and in how clothes fit before it shows on the scale. If there is no measurable change by then, we will say so and reconsider the plan rather than sell you more sessions.

Risks depend on the substance, area and injection technique. Pain, redness, swelling or bruising may occur, as can allergy, infection, lumps or scarring. Ask about the substance, its source and alternatives, and seek prompt review for increasing pain, spreading redness, fever or discharge.

The procedure should be postponed during pregnancy. During breastfeeding, safety depends on the substance because a local injection does not mean there is no absorption. Review it with the obstetric clinician and injector, using the exact substance rather than the word mesotherapy alone.

No. Response varies with the area, concern and substance, and local mesotherapy is not a treatment for overall weight. Agree on a realistic goal, measurement method and review point before starting. If there is no objective change, reassess rather than repeat sessions indefinitely.

Department 04

General Internal Medicine

Diabetes, blood pressure, thyroid, and ultrasound in the same visit

If your complaint is diabetes, blood pressure, thyroid, a general workup or persistent fatigue, start here. If it is the stomach, bowel, liver or gallbladder, start at the gut and liver clinic.

Yes, bring all of it, including the old results. The trend across months says more than a single reading and sometimes changes the decision. Phone photographs are fine if the printouts are lost.

For an abdominal ultrasound, yes: fast for six to eight hours beforehand; water is fine. It also helps to avoid fizzy drinks and bloating foods the day before so the images are clear.

By the results and the symptoms together, not the result alone. The dose is set against the case, and the date for repeating the labs is fixed at the visit itself. If you are also under the nutrition department, the medication plan is coordinated with the nutrition plan so both work in the same direction.

Possibly, although sleep, stress, a routine change or a new medicine may also explain it. If the change is marked or comes with increased thirst and urination, palpitations, tremor, weight change or other symptoms, arrange an assessment; tests follow the history and examination.

Do not stop it abruptly. Record the timing and changes in appetite and weight, then review them with the prescriber, who may adjust dose, timing or choose an alternative when appropriate. Nutrition support can help, but mental health treatment safety remains part of the decision.

First establish whether the change is body fat, fluid, medicine-related or due to a health problem. Record the time course, swelling, breathlessness or urine change and bring a medicine list. Rapid gain with swelling, breathlessness, chest pain or reduced urine needs urgent assessment, not a self-directed diet or diuretic.

Department 05

Liver, Gastroenterology & Endoscopy

Consultation and ultrasound in the same visit

Yes. The consultation includes the ultrasound in the same visit, you will not be sent out to have a scan elsewhere and come back the next day. And the doctor performs and reads the scan himself with you in the room, rather than reading someone else's report.

For an abdominal ultrasound, yes: fast for six to eight hours beforehand; water is fine. It also helps to avoid fizzy drinks and bloating foods the day before so the images are clear.

The consultation assesses whether your case genuinely needs an endoscopy. Endoscopies are performed in an equipped centre, and the doctor will agree the next step with you if that is what your case requires.

Because "IBS" is sometimes a label applied early to symptoms that have another cause, H. pylori, a food intolerance, a gallbladder problem, or a thyroid disorder. A thorough consultation, with the tests or ultrasound that are needed, helps tell these causes apart.

If your complaint is in the stomach, bowel, liver or gallbladder, start here. If it is diabetes, blood pressure, thyroid or a general workup, start at general internal medicine.

Possibly, but low weight alone does not prove malabsorption. Persistent diarrhoea, greasy stool, pain or bloating, anaemia, nutrient deficiencies or unintentional loss make assessment more important. Do not remove major foods before review because that can alter some test results.

Do not begin by banning a long list. Record the food, amount, timing of bloating and bowel pattern, and consider constipation, eating speed and fizzy drinks. Weight loss, blood in stool, persistent vomiting, anaemia or severe pain needs assessment rather than a home elimination experiment.

Fibre, fluid, movement and routine may help, but suddenly increasing fibre can worsen bloating, and some cases need treatment or investigation. Blood in stool, vomiting, severe pain, swelling with no wind, or weight loss needs prompt assessment.

Department 06

Abdominal Ultrasound

At your own doctor's request, without a consultation

Yes, if you have a request from your own doctor. We perform the scan, and your own doctor continues your care based on it. If you have no doctor following you and you want an opinion on the symptoms themselves, a consultation suits you better: it includes the scan and reads it against your history and your labs.

Yes: six to eight hours beforehand, and water is fine. It also helps to avoid fizzy drinks and bloating foods the day before, because gas gets in the way of the image.

We explain the finding to you directly. If it needs an assessment or a next step, you can book an internal-medicine consultation here or continue with your own doctor; the choice is yours.

Ultrasound can show an appearance consistent with fat accumulation, but it cannot accurately measure inflammation or fibrosis by itself. The result is read with the history, examination and liver, glucose and lipid tests before deciding whether follow-up or another assessment is needed.

Not automatically. The change may be fat, fluid, medicine-related or hormonal, so symptoms and examination determine whether ultrasound would help and which area to assess. Clear swelling, breathlessness or chest pain needs prompt evaluation.

Routine abdominal ultrasound is not a comprehensive, precise measure of all visceral fat. It may show fatty liver or a particular problem, while abdominal-fat risk also uses waist size, blood pressure, glucose and blood lipids. Further imaging is selected only when it would change care.

Department 07

Rheumatology & Joint Diseases

Rheumatoid arthritis, lupus, osteoarthritis and gout

Start with rheumatology if the joint pain comes with swelling, long morning stiffness, pain in several joints at once, or other signs such as a rash, mouth ulcers or dry eyes and mouth. Orthopaedics is usually the first step after an injury, or for a mechanical problem that may need surgery. If you are unsure, start here: the doctor examines you and tells you if another specialty suits your case better.

Bring any previous blood tests (such as ESR, CRP, rheumatoid factor, anti-CCP or ANA), X-rays or scans with their reports, and a list of every medicine and supplement you take, with the doses. Old results matter, because the change over time often says more than a single reading. Phone photographs are fine if the papers are lost.

Not necessarily. These antibodies can be positive in healthy people, especially with age, and in other conditions such as some infections. The diagnosis comes from the symptoms and the examination together with the tests, not from a single result. Bring the result with you, and the doctor will decide whether further tests are needed.

Diet helps, but for many people it is not enough on its own. Cutting down on sugary drinks, alcohol and large amounts of red meat and organ meats lowers uric acid only modestly. If attacks keep coming back, or there are deposits under the skin or kidney stones, uric-acid-lowering medicine is usually needed. Do not stop that medicine during an attack without asking the doctor.

The visit is best made before the pregnancy, not after it. Some rheumatoid arthritis medicines must be stopped weeks or months before conceiving, while others can continue, and pregnancy usually goes better when the disease is controlled. No medicine should be stopped without the doctor's decision. The clinic follows pregnancy in patients with rheumatoid arthritis.

Yes. The clinic covers physical medicine and rehabilitation for joint patients. The doctor first assesses the cause of the pain, then sets the exercise and rehabilitation plan around the diagnosis, alongside any medicine you need.

Maadi and Fifth Settlement. The doctor's days at each branch are listed on her page and on the booking page.

Department 08

General & Laparoscopic Surgery

A clear, honest assessment before any surgical decision

Coming soon

No. Small, symptom-free hernias can sometimes be watched. But a hernia that is enlarging, painful, or causing obstruction needs intervention, and delaying raises the risk. The assessment distinguishes between the two.

It depends on the procedure and the approach. Laparoscopic operations generally return you to normal activity far faster than open surgery. The surgeon will give you the expected timeline for your specific case before the operation.

The consultation, the assessment and the post-operative follow-up take place at the clinic. The operations themselves are performed in an equipped hospital, and the surgeon will agree the details with you.

Not necessarily. Local fat or excess skin is different from obesity requiring surgery, and the choice depends on weight stability, area, skin, health and a realistic aim. Assessment can separate observation, a non-surgical option, specialist plastic-surgery advice or an operation.

The decision does not come from weight alone or one unsuccessful diet. A surgeon reviews BMI, related conditions, previous attempts, readiness for follow-up and risk, and explains alternatives. Assessment may lead to a non-surgical plan or the bariatric pathway.

There is no best option for everyone. The decision depends on severity, related illness, previous response, contraindications, your preference and ability to continue long-term follow-up. Compare benefits, risks and commitments with the weight-management and surgical teams.

Department 09

Bariatric Surgery

For when surgery genuinely is the right option

Coming soon

Current international guidelines (ASMBS and IFSO, 2022) say surgery can generally be considered at a BMI of 35 or above, or from 30 to 34.9 with a metabolic disease such as type 2 diabetes, and these thresholds may be lower for people of Asian descent. But the number alone is not enough: the assessment at the clinic looks at your overall health, your previous attempts at weight loss and your readiness for follow-up after the operation, and it is what establishes this precisely for your case.

A sleeve is a permanent surgical procedure that changes the size of the stomach. The injections are a medication that can be stopped when we decide to stop it. The injections have become a suitable option for some cases that would once have gone to surgery, but weight loss with them is usually smaller and they do not suit every case, and that is exactly what the assessment establishes.

Yes, if habits do not change. Surgery creates an opportunity, but what holds the result is the correct dietary progression, follow-up and long-term commitment. That is why post-operative nutrition follow-up is a core part of the plan, not an add-on.

As with any surgical procedure, yes: the main ones being vitamin and mineral deficiency, reflux, and the general risks of surgery. But in the cases that warrant surgery, the risks of the obesity itself are greater. The surgeon explains the risks specific to your case in detail before any decision.

It may suit selected cases, but first review the procedure, weight course, food, symptoms, nutrient status and medicines. The surgical and weight-management teams establish whether the cause is behavioural, medical or procedure-related and whether medicine or another step is appropriate.

Yes. Tell the team because it may indicate sleep apnoea and affect anaesthetic assessment and follow-up. Do not wait for surgery to investigate it; a sleep study and treatment may be needed beforehand, depending on symptoms and results.

The plan depends on the procedure and surgeon's instructions. Texture and portions progress after surgery, with attention to protein, fluids and prescribed supplements. Do not copy another person's schedule, and contact the team promptly if you cannot drink, vomit repeatedly or have increasing pain.

Department 10

Dermatology & Aesthetics

Medical treatment for your skin, not generic prescriptions

Coming soon

Because among the commonest causes of hair loss are iron and ferritin deficiency, vitamin D deficiency and thyroid dysfunction, none of which is solved by a topical product. Once we know the cause, treatment is more targeted and more durable.

In many cases there is a link. Insulin resistance and PCOS can show on the skin as hormonal acne and excess hair. Some nutritional deficiencies, such as iron or zinc deficiency, can contribute to hair shedding or skin changes. That is why the dermatology and nutrition departments work together here.

They can improve, but the expectation has to be realistic: recent marks (red) respond far better than old ones (white). The consultation sets out the options that suit your case.

Do not stop it yourself. Shedding may relate to the pace of loss, too little protein or energy, iron or thyroid problems, a scalp condition, or the medicine. Review timing, food and treatment with the prescriber, and arrange dermatology assessment for patches, inflammation or marked loss.

No. Hair loss is a symptom with different causes, and a local procedure does not automatically treat iron deficiency, thyroid disease or a scalp disorder. Diagnosis comes first; then the clinician can explain whether mesotherapy has a role, the limits of evidence, risks and alternatives.

Dark circles and dullness have many causes, and results depend on the cause and injected substance; there is no universal protocol or guarantee. Dermatology assessment separates pigment, vessels, allergy, volume loss or an internal cause and explains whether injection or another option is more appropriate.

Department 11

Paediatrics

Growth and nutrition follow-up from day one

Coming soon

First: make sure there is no medical cause. Persistent poor appetite in children can have anaemia, zinc deficiency, a food intolerance or a digestive problem behind it. Once that is ruled out, we work on a practical feeding plan with a specialist in children's nutrition.

When they deviate from their own growth curve: that is, they were following a trajectory and it suddenly changed, in either direction. The number alone is not the indicator; the trend is. That is why regular monitoring matters more than a single measurement.

Yes: weight, feeding, jaundice and vaccinations in the first months, and we work with the mother on breastfeeding and her own nutrition if she needs support with that.

Start with health and habits rather than appearance or blame, and make changes as a family. A paediatric clinician reviews the growth curve, puberty, sleep, medicines and symptoms before a food and movement plan suited to age, without crash dieting or stigma.

Do not begin adult restriction or calculations. A child's weight is read on an age- and sex-appropriate growth chart alongside height and development. Care usually focuses on family habits, sleep, movement and food quality, with assessment deciding whether the goal is trajectory maintenance or gradual change.

Intense fear of weight gain with restriction or falling weight deserves early assessment for a possible eating disorder. Talk about health and energy without argument or blame, and seek paediatric, mental health and nutrition support. Fainting, chest pain, dehydration or thoughts of self-harm is an emergency.