People with excess body weight often have difficulties losing weight. Not because they lack motivation or willpower and not because they are gluttonous, rather they are suffering from a Chronic Complex Disease called Obesity. And this complex disease causes other chronic complex medical conditions such as; sleep apnoea, headaches, metabolic syndrome, infertility, fatty liver disease, heart attacks, anxiety, depression, body dysmorphic disorder and cancer. Weight loss might be the goal but improvement in your metabolic health and limiting disease progression should be the ultimate result. To approach obesity and metabolic health holistically we need to identify what current illness and symptoms you already have. So please complete the following questionnaires as truthfully as possible before your first appointment.

We will look at your general medical history, family history related to obesity and its accompanying complications, then your previous weight loss attempts -- what you've tried, for how long, successes, side effects, what you would consider doing again. We will then explore why your weight loss attempts have been unsuccessful, how the body naturally fights/responds to changes in weight, what the trigger for your weight regain might be, what we can change now and what other conditions we might need to treat/manage. We will discuss in detail the different options available including diet modification, medication and surgical therapy. You will receive handouts on diet options and medication product information so you can take them away, reflect and consider what approach would suit you best. You will receive a resource pack with further directed learning, links to medication product information, diet modification websites with recipes and information or links to the latest scientific data on weight loss. Some measurements will be taken and physical examination for signs of chronic obesity related disease undertaken (where relevant). You will be given some blood tests and other investigations to complete prior to your next appointment. We will review your investigations and questions. Exploring how your chosen option facilitates weight loss, the pros and cons of each, discuss review time-frames and what to do if you have an adverse reaction or inadequate response to therapy. We will also discuss long term maintenance of weight control.

We will review your investigations and questions. Exploring how your chosen option facilitates weight loss, the pros and cons of each, discuss review time-frames and what to do if you have an adverse reaction or inadequate response to therapy. We will also discuss long term maintenance of weight control.

These consults will focus on assessing response to therapy, review of disease progression or remission. Blood tests will be completed before the appointment and a physical exam with occur during the consult.