Weight Management & Non-surgical Alternatives

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.