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If you are living with severe obesity and have multiple medical conditions, previous unsuccessful weight loss attempts, concerns about weight loss medications, you are not achieving the results you expected from GLP-1 treatments…specialist assessment may help.
At The London Obesity Clinic, our consultant endocrinologist provides expert assessment and management of complex obesity. We help patients who require more than standard weight loss advice, including those with diabetes, thyroid disorders, hormonal conditions, cardiovascular disease, sleep apnoea, mobility limitations, and medication-related challenges.
If you are living with severe obesity and have multiple medical conditions, previous unsuccessful weight loss attempts, concerns about weight loss medications, you are not achieving the results you expected from GLP-1 treatments…specialist assessment may help.
At The London Obesity Clinic, our consultant endocrinologist provides expert assessment and management of complex obesity. We help patients who require more than standard weight loss advice, including those with diabetes, thyroid disorders, hormonal conditions, cardiovascular disease, sleep apnoea, mobility limitations, and medication-related challenges.
Complex severe obesity refers to obesity that is complicated by one or more additional medical, hormonal, psychological, or medication-related factors.
This may include:
BMI above 35 kg/m² with multiple obesity-related complications like
For many people, obesity is a chronic medical condition requiring specialist management rather than simply dietary advice.
In some people, Body Mass Index (BMI) may be low but they still may be suffering from complex, severe obesity and they need to seek medical help.
For many people, obesity is a chronic medical condition requiring specialist management rather than simply dietary advice.
In some people, Body Mass Index (BMI) may be low but they still may be suffering from complex, severe obesity and they need to seek medical help.
Despite significant effort, weight loss may be limited or difficult to maintain.
This often occurs because obesity is influenced by complex Biological, Hormonal, Metabolic,
Genetic, Psychological & Environmental factors that requires specialist evaluation.
Despite significant effort, weight loss may be limited or difficult to maintain.
This often occurs because obesity is influenced by complex Biological, Hormonal, Metabolic,
Genetic, Psychological & Environmental factors that requires specialist evaluation.
GLP-1 receptor agonists and dual incretin therapies have transformed obesity treatment. However, they are not suitable for everyone.
Expert Assessment Before GLP-1 Weight Loss Medication is mandatory
Many patients have concerns such as:
Our consultant endocrinologist and doctors provide a comprehensive medical assessment before treatment recommendations are made.
We carefully review:
The goal is to ensure treatment is both safe and effective for your individual circumstances.
GLP-1 receptor agonists and dual incretin therapies have transformed obesity treatment. However, they are not suitable for everyone.
Expert Assessment Before GLP-1 Weight Loss Medication is mandatory
Many patients have concerns such as:
Our consultant endocrinologist and doctors provide a comprehensive medical assessment before treatment recommendations are made.
We carefully review:
Existing medical conditions
Current medications
Hormonal disorders
Previous weight loss treatments
Family history
Potential medication interactions
Risks and benefits of treatment
The goal is to ensure treatment is both safe and effective for your individual circumstances.
Not everyone responds to GLP-1 medication in the same way.
Research shows that 10-15% of patients will not lose weight with wegovy or mounjaro.
You may benefit from specialist review if:
Not everyone responds to GLP-1 medication in the same way.
Research shows that 10-15% of patients will not lose weight with wegovy or mounjaro.
You may benefit from specialist review if:
Weight regain can occur during or after treatment with weight loss medication.
82% regained at least a quarter of the weight they had lost a year after stopping Mounjaro.
This does not mean treatment has failed or you have done something wrong
Obesity is a chronic relapsing condition, and weight regain often reflects biological
mechanisms that increase hunger and reduce energy expenditure.
Specialist assessment can help identify:
Weight regain can occur during or after treatment with weight loss medication.
82% regained at least a quarter of the weight they had lost a year after stopping Mounjaro.
This does not mean treatment has failed or you have done something wrong
Obesity is a chronic relapsing condition, and weight regain often reflects biological
mechanisms that increase hunger and reduce energy expenditure.
Specialist assessment can help identify:
We frequently assess patients with:
We frequently assess patients with:
Obesity is influenced by hormones that regulate:
An endocrinologist specialises in the hormonal and metabolic systems that contribute to weight gain and
difficulty losing weight.
This specialist expertise is particularly valuable when obesity occurs alongside multiple medical conditions or
when treatment outcomes are not meeting expectations.
Obesity is influenced by hormones that regulate:
An endocrinologist specialises in the hormonal and metabolic systems that contribute to weight gain and
difficulty losing weight.
This specialist expertise is particularly valuable when obesity occurs alongside multiple medical conditions or
when treatment outcomes are not meeting expectations.
We provide:
Comprehensive Medical Assessment
A detailed review of your
weight history, health
conditions, medications,
and previous treatments.
Personalised Treatment
Planning
Treatment
recommendations based
on your medical profile and
goals.
Medication Review by a
doctor
Assessment of whether
GLP-1 medications or
alternative treatments are
appropriate and safe.
Long-Term Weight
Managemen
Our strategies focus on
sustainable weight loss
and weight maintenance
for the long run.
Ongoing Specialist
Support
Regular follow-up to
optimise treatment and
address challenges as they
arise.
What is complex obesity?
Complex obesity refers to obesity that is affected by additional medical, hormonal,
psychological, or medication-related factors that make management more challenging.
Please see above for the list of conditions, which are classified as complex severe obesity.
Should I see a specialist before starting Mounjaro or Semaglutide or other GLP-1 medication?
Many people can safely use GLP-1 medication. However, specialist review may be beneficial if you have multiple
medical conditions, take several medications, have a history of endocrine disorders, or have concerns about safety.
Can GLP-1 medications interact with other medicines?
Potential interactions can occur because GLP-1 medications affect gastric emptying and may influence how
some medicines are absorbed. A specialist review can help determine whether any adjustments are needed.
Why am I not losing weight on Mounjaro or Wegovy?
Several factors may contribute, including dose optimisation, underlying medical conditions, insulin resistance,
sleep disorders, medication effects, dietary factors, and biological variability in treatment response.
Why am I regaining weight despite treatment?
Weight regain is common in obesity management and may occur due to biological adaptations, changes in
treatment, medication tolerance, lifestyle factors, or underlying medical issues. Some times untreated
psychological/psychiatric conditions can also contribute to weight regain.
Can an endocrinologist help if I have already tried multiple weight loss programmes?
Yes. Endocrinologists who specialise in bariatric medicine can identify hormonal, metabolic, and medical
factors that may be contributing to weight gain or treatment resistance.
Do I need a referral?
Most patients can self-refer for assessment. Please contact the clinic for current referral requirements.
Is obesity a chronic disease?
Yes. Obesity is recognised as a chronic, relapsing medical condition that often requires ongoing management
rather than short-term treatment.
Who is suitable for assessment at our Clinic?
Adults with severe obesity, obesity-related health conditions, concerns regarding weight loss medication,
difficulty losing weight despite treatment, or weight regain after previous interventions may benefit from
specialist assessment.
What is complex obesity?
Complex obesity refers to obesity that is affected by additional medical, hormonal, psychological, or medication-related factors that make management more challenging.
Please see above for the list of conditions, which are classified as complex severe obesity.
Should I see a specialist before starting Mounjaro or Semaglutide or other GLP-1 medication?
Many people can safely use GLP-1 medication. However, specialist review may be beneficial if you have multiple
medical conditions, take several medications, have a history of endocrine disorders, or have concerns about safety.
Can GLP-1 medications interact with other medicines?
Potential interactions can occur because GLP-1 medications affect gastric emptying and may influence how
some medicines are absorbed. A specialist review can help determine whether any adjustments are needed.
Why am I not losing weight on Mounjaro or Wegovy?
Several factors may contribute, including dose optimisation, underlying medical conditions, insulin resistance,
sleep disorders, medication effects, dietary factors, and biological variability in treatment response.
Why am I regaining weight despite treatment?
Weight regain is common in obesity management and may occur due to biological adaptations, changes in
treatment, medication tolerance, lifestyle factors, or underlying medical issues. Some times untreated
psychological/psychiatric conditions can also contribute to weight regain.
Can an endocrinologist help if I have already tried multiple weight loss programmes?
Yes. Endocrinologists who specialise in bariatric medicine can identify hormonal, metabolic, and medical
factors that may be contributing to weight gain or treatment resistance.
Do I need a referral?
Most patients can self-refer for assessment. Please contact the clinic for current referral requirements.
Is obesity a chronic disease?
Yes. Obesity is recognised as a chronic, relapsing medical condition that often requires ongoing management
rather than short-term treatment.
Who is suitable for assessment at our Clinic?
Adults with severe obesity, obesity-related health conditions, concerns regarding weight loss medication,
difficulty losing weight despite treatment, or weight regain after previous interventions may benefit from
specialist assessment.
If you have complex obesity, concerns regarding GLP-1 medication, or are struggling with weight loss despite treatment, arrange a consultation with our consultant endocrinologist for a comprehensive assessment and personalised treatment plan.
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*Disclaimer: Results may vary from person to person depending on individual engagement and commitment to the programme.
The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health related condition. If you have or suspect you have a medical problem, promptly contact your healthcare provider.
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