Excess weight is rarely just about eating less. At Vitalis Health, we find and address the metabolic root causes through a structured, physician-supervised programme. Insulin resistance, hormonal disruption, and visceral fat accumulation each require a specific clinical response.
Most diets treat everyone the same. But people gain weight for different reasons. Until the underlying metabolic cause is identified and addressed, the body continues to defend its higher weight.
When cells stop responding to insulin efficiently, the body stores more fat and burns less. Hunger signals stay switched on, and standard calorie restriction produces little lasting change.
Imbalances in thyroid function, cortisol, and appetite hormones create a biological environment that drives weight gain and resists loss, regardless of effort.
Fat stored around the organs is metabolically active and drives inflammation. It raises the risk of diabetes, fatty liver, and heart disease, and requires a targeted metabolic approach to shift.
Research from the Mayo Clinic has identified four distinct eating phenotypes, each driven by different biological and psychological factors. Understanding your phenotype helps determine which treatment approach will work best for you.
Every patient follows the same clinical framework. The level and type of intervention within that framework is personalised to your metabolic profile, health history, and goals.
Before any treatment begins, we build a thorough picture of your metabolic health. Body composition analysis measures your fat mass, lean mass, and visceral fat directly. A pre-treatment blood panel checks liver function, kidney function, thyroid, insulin resistance, and cardiovascular risk. An ultrasound assesses the liver and gallbladder at baseline.
A full medical history review identifies your personal weight gain triggers, whether that is disrupted sleep, chronic stress, hormonal changes, medication effects, or a metabolic condition. This forms the foundation of a plan that is specific to you.
Treatment is built around your phenotype and metabolic profile. For some patients this means structured nutrition, exercise prescription, and behaviour support. For those who meet the clinical criteria, supervised medical weight loss therapy is added. Where indicated, this begins at the lowest dose and increases gradually every four weeks, minimising side effects while the body adapts.
A personalised diet plan is delivered within 24 hours of starting. Protein intake is actively managed throughout, because inadequate protein during significant weight loss results in muscle loss rather than fat loss. Weekly dietitian check-ins keep you on track and adjust the plan as your dose and progress evolve.
Body composition is measured at every monthly visit. This is important because the goal is fat loss, not muscle loss. Blood tests are repeated monthly and quarterly to track kidney function, liver function, blood sugar, and cholesterol as your metabolism improves. A mental wellbeing screen is completed at every physician visit.
When target weight is reached, any medication is stepped down gradually under supervision rather than stopped abruptly. Maintenance strategies are discussed well in advance, because long-term weight management requires a long-term plan.
Medical supervision is not a monthly weigh-in. Every visit covers your body composition, blood results, nutrition plan, and mental wellbeing.
Fat mass, lean mass, visceral fat, and waist circumference measured at every visit.
Kidney function, liver function, and blood count every month. HbA1c, insulin, lipids, and thyroid every three months.
A 20-minute physician review covers all results, treatment decisions, and a wellbeing screen at every monthly visit.
Four 15-minute dietitian check-ins scheduled every month covering protein intake, dietary adherence, and symptom management.
Your personalised plan is reviewed and updated at every monthly visit based on current weight, progress, and tolerability.
Gallbladder and liver monitoring throughout treatment, with imaging at 6-month intervals.
A physician assessment determines the right approach for your specific situation. These are the profiles we most commonly help.
Standard threshold for medically supervised weight loss therapy, regardless of whether other conditions are present.
Diabetes, pre-diabetes, high blood pressure, fatty liver, high cholesterol, PCOS, or sleep apnoea support medical therapy from BMI 27.
Indian guidelines support considering medical therapy from BMI 25 with two or more metabolic risk factors, reflecting higher metabolic risk at lower BMI in South Asians.
Those who have made sustained efforts with diet and lifestyle but continue to experience rebound weight gain. This pattern is often driven by underlying metabolic dysfunction rather than lack of effort.
Belly fat that does not respond to exercise and diet changes often has hormonal and metabolic drivers that respond to targeted medical intervention.
Those currently on a prescribed weight loss medication elsewhere can transfer their care to Vitalis Health for structured monitoring, body composition tracking, and dietitian support.
Medical weight loss therapy is not appropriate for everyone. It is not used in pregnancy, active pancreatitis, certain kidney conditions, specific thyroid conditions, active inflammatory bowel disease, or gastroparesis. A physician assessment identifies these before any prescription is made. A consultation is the only way to confirm suitability with confidence.
From first consultation to starting treatment, every step is clearly guided.
The physician takes a full medical history, reviews your weight journey, screens for any contraindications, and orders the baseline investigation panel. You will agree on a realistic target weight based on your body composition.
Blood tests and an ultrasound are completed. The physician reviews all results before any treatment is prescribed. No medication is initiated until the full baseline panel has been reviewed and cleared.
On the day treatment begins, the dietitian explains what to expect, how to manage any side effects, and the meal habits that support the treatment. A printed information booklet is issued. Your personalised diet plan is delivered within 24 hours.
Each month includes a physician consultation, body composition scan, blood tests, and four weekly dietitian check-ins. The diet plan is updated at each monthly visit. Treatment is reviewed and adjusted based on your progress and tolerability.
When your target is confirmed on two consecutive monthly body composition scans, any medication is reduced gradually under supervision. Maintenance strategies are discussed early and planned well before you reach your goal.
Book a Weight Loss Consultation. We will review your health history, complete a metabolic assessment, and build a plan suited to you.