Body weight is regulated by multiple interconnected systems, including:

• Hormonal signaling (insulin, leptin, GLP-1, cortisol, thyroid hormones)

• Appetite and satiety regulation

• Energy expenditure and muscle mass

• Sleep quality and circadian rhythm

• Stress response

• Gut microbiome and inflammation

Disruption in any of these systems may contribute to weight gain or resistance to weight loss.

Every weight management program begins with a comprehensive medical evaluation, which may include:

• Detailed medical and weight history

• Assessment of eating patterns, activity, sleep, and stress

• Laboratory diagnostics (metabolic, hormonal, inflammatory markers)

• Evaluation of contributing conditions (e.g. insulin resistance, thyroid dysfunction, menopause-related changes)

The goal is to identify modifiable drivers of weight gain and to avoid one-size-fits-all approaches.

Lifestyle & Foundational Therapy

Sustainable weight management always includes:

• Personalized nutritional guidance

• Movement strategies adapted to fitness level and goals

• Sleep optimization

• Stress management

These foundations remain essential even when medical therapy is used.

Medical Therapy (GLP-1 and Other Options)

When clinically indicated, GLP-1 receptor agonists (e.g. Wegovy® or Mounjaro®) may be considered as part of a structured medical plan.

Key principles:

• Clear medical indication

• Individualized dosing and monitoring

• Integration with lifestyle measures

• Regular follow-up and reassessment

Medication is never prescribed as a standalone solution. Benefits, risks, contraindications, and expectations are discussed in detail.

Long-Term Strategy & Follow-Up

Weight management is not a finite intervention but a long-term process. Follow-up focuses on:

• Treatment response and tolerance

• Metabolic health improvement

• Preservation of muscle mass

• Prevention of weight regain

Adjustments are made as needed to support safety and sustainability.

Medical weight management often overlaps with other preventive services, including:

• Hormonal balance and menopause care

• Microbiome and food intolerance assessment

• Orthomolecular medicine

• Cardiovascular risk evaluation

• DNA & epigenetic insights

This integrated approach addresses weight regulation as part of overall health and longevity, not as an isolated goal.

Medical weight management is suitable for patients who:

• Struggle with weight despite lifestyle efforts

• Experience metabolic or hormonal challenges

• Consider or already use weight-loss medication and want medical supervision

• Seek long-term health improvement rather than rapid weight loss

• Prefer evidence-based, physician-led care

Consultation format
Extended medical consultation to allow thorough assessment and planning.

Treatment timeline
Weight loss and metabolic improvement occur gradually and vary individually.

Safety
All therapies follow medical guidelines and are regularly monitored.

Expectations
The goal is sustainable weight regulation, improved metabolic health, and long-term well-being — not extreme or rapid weight loss.

Medical weight management consultations are priced according to consultation time, diagnostic needs, and follow-up requirements.

Medication costs are not included and depend on the prescribed therapy.

A personalized treatment plan and cost overview are provided during consultation.