Weight & metabolic health
Weight has become harder to manage.
Maybe it's changed over time. Maybe nothing you've tried has worked the way you expected. Or perhaps you're trying to understand what's really going on underneath.
Weight changes · insulin resistance · metabolic risk · PMOS · GLP-1 treatment when appropriate
Common assumptions
A few things we don't assume.
I just need to eat less and move more.
It's rarely that simple.
Weight and metabolic health can be influenced by hormonal changes, PMOS, menopause, sleep, medications and many other factors. We take those into account before suggesting what support may be appropriate.
My weight has changed and I don't know why.
That's worth looking into.
Changes in weight can signal shifts in hormones, metabolism, sleep, mood or other aspects of your health. Understanding what's behind the change often matters more than the number on the scale.
Insulin resistance means I have diabetes.
Not necessarily.
Insulin resistance can be part of metabolic health without meaning you have diabetes. It's one factor your doctor may consider alongside your history, blood work and wider health picture.
GLP-1s are for anyone who wants to lose weight.
Not always appropriate.
Prescription weight-management medication such as GLP-1 treatment may be considered when clinically eligible, but it's one possible part of care, not a default starting point. Your doctor reviews your history, current medications, reproductive plans and potential side effects before discussing whether it makes sense for you.
Your first consultation
Give it an hour.
Whether weight has changed gradually, hasn't responded to what you've tried, or you're trying to understand the bigger metabolic picture, you may already have spent a lot of time working out what's going on.
Bring any results or diagnoses you already have, what you've tried, and the questions you still have.
For an hour, your practitioner has time to look properly at the full picture—your history, metabolic markers, medications and what may still need attention—and talk through what options make sense from here, including whether prescription weight-management medication such as GLP-1 treatment is appropriate for you.
You should leave knowing what is worth working on now, whether anything needs further investigation, and where to start.
60 minutes · $295
A note on naming
PMOS, formerly known as PCOS.
Polyendocrine metabolic ovarian syndrome is the new name for polycystic ovary syndrome. The name reflects that the condition can affect endocrine, metabolic, reproductive and ovarian health. Ovarian cysts are not required for a diagnosis.