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Weight Loss Consultation

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Who is this consultation for?

This consultation is for adults that might require medical assistance in weight loss, with a BMI ≥30 kg/m2 (obesity), or ≥27 kg/m2 to≥30 kg/m2 (overweight) with at least one weight-related comorbidity, such as (pre-diabetes or type 2 diabetes mellitus), hypertension, dyslipidaemia, or obstructive sleep apnoea. If medication is prescribed it should be used alongside a reduced-calorie diet and increased physical activity.

What are the risks involved in weight loss medication?

  • It is contraindicated for individuals with severe Kidney Problems, Liver disease, obesity secondary to endocrinological or eating disorders, or a history of major depressive disorder or other significant psychiatric disorders.
  • It is not recommended to patients aged under 18 years, pregnant or breastfeeding patients, or those with severe gastrointestinal disease;
  • It is not recommended in patients with medullary thyroid cancer or history of MEN2 syndrome.
  • Most common adverse effects are gastrointestinal reactions including nausea, vomiting, diarrhoea, constipation, and headache which occurred in >10% of study patients. These effects were usually mild to moderate in severity, and were typically temporary, resolving after a few weeks. Discontinuation due to these effects was rare.
  • Injection site reactions may also occur; educate patients about using different injection sites each week.

Looking for your follow up consultation, please click here: Weight Loss Follow Up Consultation

Please be advised that this platform does not offer services to facilitate the reimbursement of medications or consultations.

Patients are required to cover the full cost of their consultations and any prescribed medications at the pharmacy.

What is the role of a GP in weight management:

A four-part approach to weight management is suggested:

  1. Monitor: Monitor weight and if increasing, offer brief nutrition, physical activity and sleep advice;
  2. Assess: For patients who are obese or overweight with waist circumference > 102cm (male) or > 88cm (female), take a full history to identify clinical, social and behavioural factors that may affect their weight;
  3. Manage: Develop a weight management plan with individualised lifestyle interventions. Consider prescribing weight loss medication if lifestyle changes have not resulted in significant benefit after 6 months, and BMI remains ≥ 30kg/m ;
  4. Maintain: Continue to support patients and monitor their weight, BMI, waist circumference, mental health and wellbeing.

What outcomes can patients expect?

  • Bodyweight reduction of 5-10% is expected with medication;

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