• Obesity is a complex chronic condition influenced by biological, metabolic, environmental and behavioural factors. Specialist assessment can help identify relevant medical issues and develop an individualised treatment plan.

    Care may include:

    • Medical and pharmacological weight management

    • Diabetes, prediabetes and insulin resistance

    • PCOS and weight-related reproductive or hormonal concerns

    • Metabolic-associated fatty liver disease

    • Investigation for endocrine causes of weight gain where clinically indicated

    • Nutrition, physical activity and resistance exercise

    • Preserving muscle and physical function during weight loss

    • Weight regain after previous weight loss

    • Weight regain or metabolic complications after bariatric surgery

  • Loss of body weight can include both fat and lean tissue.

    For this reason, weight-management care may include discussion of adequate nutrition, protein intake, resistance exercise and other strategies aimed at maintaining muscle and physical function while reducing excess body fat.

    The aim is not simply to achieve the lowest possible weight, but to improve health in a sustainable way.


  • Weight-management medication can be an effective option for appropriately selected patients.

    Treatment decisions take into account your weight history, previous treatments, medical conditions, current medications and individual goals. Where medication is prescribed, follow-up can include assessment of response, dose adjustment, side-effect management and longer-term weight-maintenance planning.

  • Weight alone does not provide a complete picture of health.

    During significant weight loss, maintaining muscle, strength, physical function and adequate nutrition can also be important.

    Where clinically appropriate, monitoring may therefore extend beyond body weight to include:

    - Waist circumference

    - Body composition

    - Muscle strength and physical function

    - Blood pressure

    - Glucose and HbA1c

    - Cholesterol and triglycerides

    - Liver health

    - Nutritional status

    Simple measures such as grip strength may also be used where appropriate to help assess changes in physical function over time.

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