Supportive planning before and after a change to your weight loss treatment.
When treatment stops, appetite and fullness effects reduce and biological pressure to regain can return. We prepare for that transition rather than waiting until substantial regain has happened.
GLP-1-based medicines influence appetite, fullness and food intake while they are used. After stopping, those effects diminish and the body’s weight-regulating biology can favour regain.
This does not mean you have failed or that treatment was pointless. Obesity is a chronic, relapsing condition, and weight trajectories after treatment differ between people.
If medicine is restarted, it requires a fresh safety assessment and appropriate dose. Leftover, shared, counterfeit or unregulated products should never be used.
Pregnancy plans, new diagnoses and changes to other medicines can all alter whether treatment remains suitable.
We explore effectiveness, side effects, cost or access, current dose, nutrition, muscle health and changes in blood pressure or diabetes treatment.
There is no universal tapering timetable supported for everyone. Some medicines are intended for long-term use; a change should be clinician-led and based on your circumstances.
Regular meals, adequate protein and fibre, resistance activity, sleep care and behavioural strategies can support maintenance. They do not erase biology, so expectations should be compassionate and realistic.
We agree what changes should prompt review — for example appetite becoming difficult to manage, rapid regain, worsening glucose or distress around eating.
For some people, continuing treatment remains the safest evidence-led option. For others, a supported transition is reasonable.
Regular review allows us to respond to appetite, metabolic markers, muscle health and emotional wellbeing before the situation feels unmanageable.
Understanding what is driving your weight takes a proper assessment — your history, the other conditions you live with, the medicines you already take, and what has been tried before.
Where obesity is complex, Dr Raj may recommend the Specialist Weight Management Plan: our most intensive option, for the most complex cases. Not everyone needs it. For others, consultations and review alone are enough, and what you are offered depends on what is actually going on.
Care is delivered through our London and Chennai clinics.
This information cannot replace a consultation. Your care depends on your symptoms, history, medicines and test results. We coordinate with your own doctor or relevant specialist when needed.
Understanding the physical, metabolic and emotional factors behind your weight.
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Care that considers blood glucose, weight and your wider metabolic health together.
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Polycystic Ovary Syndrome (PCOS): hormonal symptoms, metabolism and reproductive health considered together.
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Looking beyond weight to understand thyroid function, symptoms and wellbeing.
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Individual care for the hormonal and metabolic changes of menopause.
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Exploring the connections between hormones, weight and fertility concerns.
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Considering liver health as part of a broader picture of metabolic wellbeing.
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Sensitive assessment of hormonal concerns and their links to wider health.
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Ongoing support that recognises weight maintenance as part of long-term care.
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Understanding weight changes after surgery, without blame or judgement.
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