Medical Weight
Optimisation

Evidence-based weight management combining MHRA-approved prescription medications with medical supervision, nutritional guidance, and ongoing support. Our doctors create personalized treatment plans designed to help you achieve sustainable weight loss.

Medical weight optimisation - artistic black and white portrait

Treatment Programmes

Medical Treatment, Comprehensive Support

Experience physician-supervised weight management combining evidence-based medication with nutritional guidance, lifestyle support, and regular medical monitoring.

Sustainable transformation.

Your complete wellness journey.

  • Medical expertise
  • Nutritional guidance
  • Lifestyle optimization
Measuring tape for weight management

Foundation

£250/mo

6-Month Supervised Weight Management

Comprehensive medical weight management including prescription medication (if clinically appropriate), monthly doctor consultations, and nutritional support.

WHAT'S INCLUDED

  • Initial comprehensive medical assessment
  • Prescription GLP-1 medication (if suitable)
  • Monthly doctor consultations
  • Medication dosage titration & monitoring
  • Nutritional guidance & meal planning
  • Side effect management support
  • Blood pressure & metabolic monitoring
  • 6-month treatment duration

Complete

£450/mo

12-Month Comprehensive Weight Management

Our most comprehensive programme with enhanced support, regular monitoring, and extended medication coverage for sustained results and long-term success.

WHAT'S INCLUDED

  • Everything in Foundation Programme
  • Fortnightly check-ins (first 3 months)
  • Comprehensive blood work (baseline & 6 months)
  • Body composition analysis tracking
  • Registered dietitian consultations (quarterly)
  • Exercise physiology guidance
  • Behavioral psychology support sessions
  • Priority doctor access & messaging
  • 12-month treatment with transition planning
Pink yoga blocks for fitness and wellness
Coiled measuring tape for elite weight management

Elite

£850/mo

12-Month Concierge Weight Management

Premium all-inclusive programme with dedicated doctor, weekly support, comprehensive testing, and personalized optimization for maximum results and accountability.

WHAT'S INCLUDED

  • Everything in Complete Programme
  • Dedicated physician & care coordinator
  • Weekly virtual check-ins & support
  • Advanced metabolic testing & genetic analysis
  • Monthly in-person body composition scans
  • Personal training consultation (monthly)
  • Supplement & micronutrient optimization
  • 24/7 medical messaging support
  • Complimentary IV therapy sessions (monthly)
  • Maintenance programme after 12 months

Note: All programmes require initial medical assessment (£150, deducted from first month if proceeding).
Medication costs included in monthly fee. Early termination fees may apply. Not all patients will be suitable for treatment.

Understanding GLP-1 Weight Management

How GLP-1 Medications Work

GLP-1 receptor agonists (semaglutide, tirzepatide) are medications originally developed for Type 2 diabetes that also affect appetite regulation and food intake.

Mechanism of Action:

  • Mimics natural GLP-1 hormone
  • Slows gastric emptying (feeling fuller longer)
  • Reduces appetite through brain signaling
  • May improve blood sugar regulation
  • Injectable medication (weekly dosing)

These medications must be combined with reduced-calorie diet and increased physical activity for effectiveness.

Expected Outcomes & Realistic Expectations

Clinical trials show variable results. Individual outcomes depend on many factors including genetics, adherence, lifestyle changes, and baseline health.

  • Average 10-15% weight reduction over 12-18 months in clinical trials
  • Results highly variable—some lose more, some less
  • Weight loss plateaus typically occur around 6-12 months
  • Lifestyle adherence critical for success
  • Weight regain common if medication stopped
  • Not everyone responds to medication

No guaranteed outcomes.
Results vary significantly between individuals.

Woman preparing healthy meal in kitchen

What to Anticipate: Risks & Considerations

Most patients experience gastrointestinal side effects, especially during dose escalation. Side effects often improve over time but can be severe.

  • Nausea (60-70% of patients)
  • Vomiting (24-40% of patients)
  • Diarrhea (30-40% of patients)
  • Constipation (30-40% of patients)
  • Abdominal pain or discomfort
  • Heartburn or reflux
  • Headache
  • Fatigue or dizziness
  • Injection site reactions

All risks discussed during consultation.

Treatment Suitability & Contraindications

The following conditions may make you unsuitable for treatment:

  • Personal/family history of medullary thyroid cancer or MEN2
  • pregnancy/breastfeeding
  • history of pancreatitis
  • severe gastroparesis
  • type 1 diabetes

Please discuss this during your consultation.

Frequently Asked Questions

GLP-1 medications are typically prescribed for adults with a BMI of 30 or higher (obesity), or BMI of 27 or higher (overweight) with at least one weight-related condition such as type 2 diabetes, high blood pressure, or high cholesterol. During your consultation, our doctor will conduct a comprehensive medical assessment to determine if GLP-1 medication is appropriate for you based on your health history, current medications, and weight loss goals. Certain medical conditions may make you unsuitable for treatment.
Weight loss results vary significantly between individuals. Clinical trials show an average weight loss of 10-15% of body weight over 12-18 months when combined with lifestyle modifications. Some patients lose more, others less. Factors affecting results include starting weight, adherence to medication and lifestyle changes, genetics, underlying health conditions, and dosage. It's important to have realistic expectations—GLP-1 medications are not a quick fix and require commitment to dietary changes and increased physical activity for optimal results.
Weight regain after stopping GLP-1 medication is common and occurs in many patients. Studies show that without continued medication, patients typically regain 50-70% of lost weight within the first year after discontinuation. This is because GLP-1 medications affect appetite regulation—when stopped, hunger signals often return to previous levels. Maintaining weight loss requires ongoing lifestyle modifications including continued calorie restriction, regular physical activity, and behavioral changes. Some patients choose to remain on a maintenance dose long-term to sustain their results.
The most common side effects are gastrointestinal: nausea (60-70% of patients), vomiting (24-40%), diarrhea (30-40%), constipation (30-40%), and abdominal discomfort. These typically occur during dose escalation and often improve over time, though some patients discontinue due to persistent symptoms. Other side effects include fatigue, dizziness, headache, and injection site reactions. Rare but serious risks include pancreatitis, gallbladder disease, kidney problems, and thyroid tumors (in animal studies). All side effects and risks will be thoroughly discussed during your medical consultation.
GLP-1 medications are medical treatments prescribed for clinical obesity or overweight with health complications, not cosmetic weight loss. These are powerful medications with significant side effects and are not appropriate for individuals looking to lose small amounts of weight for appearance alone. Prescribing guidelines require a BMI threshold and medical justification. Our doctors follow ethical prescribing practices and will only recommend treatment when medically indicated. For modest cosmetic weight loss goals, we can discuss alternative approaches including nutritional counseling and lifestyle modification programs.
Absolutely. GLP-1 medications are not a substitute for healthy lifestyle changes—they are a tool to support weight loss alongside dietary modifications and increased physical activity. Clinical trials demonstrating effectiveness included reduced-calorie diets and exercise programs. The medication helps by reducing appetite and food intake, but long-term success requires building sustainable healthy habits. Our programmes include nutritional guidance and lifestyle coaching to help you develop eating patterns and activity levels that support your goals both during and after medication treatment.

Select Treatment

Complete your booking