Private GP for Weight Management in London
You have tried the diets. You have started exercise programmes. You have read the books and downloaded the apps. Yet the weight stays or creeps back up. It is not willpower that is failing you. Something else is going on.
Weight management is more complex than calories in versus calories out. Medical assessment uncovers what is really happening and creates approaches that actually work for your body.
Why Weight Loss Is Not Simple
Your weight is influenced by genetics, hormones, metabolism, gut bacteria, sleep, stress, medications, and underlying health conditions. Ignoring these factors while counting calories is fighting with one hand tied behind your back.
A GP can assess these factors, identify what is working against you, and create a plan addressing your specific situation.
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Medical Factors Affecting Weight
Thyroid disorders. An underactive thyroid slows metabolism, causing weight gain and difficulty losing weight despite reasonable eating and exercise.
Polycystic ovary syndrome affects weight distribution and makes weight loss harder for many women. Insulin resistance plays a significant role.
Insulin resistance and prediabetes cause your body to store fat more readily and resist releasing it. Many people have this without knowing.
Cortisol and stress. Chronic stress elevates cortisol, promoting fat storage particularly around the abdomen.
Sleep deprivation disrupts hunger hormones, increasing appetite and cravings while slowing metabolism.
Medications. Many common medications including some antidepressants, contraceptives, and steroids can cause weight gain.
What Happens at Your Appointment
Your GP will take a comprehensive history covering your weight over time, previous attempts at weight loss, diet, exercise, sleep, stress, and medical conditions.
Blood tests may include thyroid function, blood glucose, HbA1c for diabetes screening, lipid profile, and hormone levels if indicated.
Physical examination includes weight, height, waist circumference, and blood pressure. Body composition analysis may be available.
Discussion covers findings, contributing factors, and a realistic plan tailored to you.
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Treatment Options
Addressing underlying conditions. If thyroid, PCOS, or insulin resistance is contributing, treating these often helps weight management significantly.
Dietary guidance beyond generic advice. Understanding how your body responds to different foods helps create sustainable eating patterns.
Medication may be appropriate for some people. Newer weight loss medications have shown significant effectiveness when combined with lifestyle changes. Your GP can discuss whether these might suit you.
Specialist referral to dietitians, endocrinologists, or weight management services can be arranged when needed.
Ongoing support. Weight management is a journey not a single appointment. Regular follow up helps maintain progress and adjust approaches.
Realistic Expectations
Sustainable weight loss is typically 0.5 to 1kg per week. Rapid weight loss usually rebounds. Your GP will help set realistic goals and celebrate genuine progress.
Frequently Asked Questions
Will you just tell me to eat less and exercise more? No. We assume you have already tried that. Our approach looks for underlying factors and creates personalised plans.
Can I get weight loss injections? Medications like semaglutide may be appropriate for some patients. Your GP will discuss whether you might be suitable based on your individual circumstances.
What if I have emotional eating patterns? This is common and important to address. Your GP can discuss psychological support alongside medical approaches.
How often will I need appointments? Initially, regular follow up helps monitor progress and adjust the plan. Frequency decreases as you find what works for you.
Stop blaming yourself for something that may have medical causes.
