Medical Weight Loss
& Hormone Programme
For those seeking medically supervised weight loss alongside hormonal health. Built around DEXA, resting metabolic rate, continuous glucose monitoring and a full hormone profile, with medication prescribed where clinically appropriate.
There is no shortage of treatment.
There is a shortage of oversight.
LMI's Medical Weight Management Programme addresses the biology that determines body composition, not the number on the scale. Under full physician management, from first assessment to lasting outcome.
Most people currently receiving
medically managed weight treatment
are receiving it incorrectly.
The treatment itself is not the problem. The clinical infrastructure - or absence of it - is. Body composition is a metabolic variable. It is governed by hormonal architecture, insulin sensitivity, genetic nutritional response, gut microbiome function, and resting metabolic rate. None of these are addressed by a prescription alone.
"What changes body composition permanently is changing the biology that governs it. That requires time, measurement, and a physician who remains involved."
The LMI Medical Weight Management Programme begins with the most comprehensive metabolic assessment available outside a hospital setting, and builds a clinical protocol from what it finds. Your physician remains involved monthly, adjusting based on measured outcomes, for as long as the programme continues.
Body composition is not a
willpower problem.
It is a metabolic one. And metabolic problems require metabolic solutions, not restriction, not generic protocols, and not prescriptions issued in the absence of the clinical picture that would make them meaningful.
The biology that determines where your body stores fat, how efficiently it uses energy, how it responds to different foods, and how it resists change: is individual, measurable, and modifiable. Most weight management approaches address none of it.
We address all of it. Before we recommend anything.
What most patients receive.
What they actually need.
What most receive: A remote consultation and a prescription.
What they need: A full metabolic workup establishing their resting metabolic rate, insulin sensitivity, hormonal baseline, nutritional genetics, and body composition before any treatment begins.
What most receive: Periodic check-ins, if any.
What they need: Monthly physician reviews tracking measurable outcomes, adjusting the clinical protocol in real time, and ensuring the biological changes that make results permanent are actually occurring.
What most receive: Generic dietary guidance.
What they need: A precision nutrition protocol built from their nutritional DNA, eliminating the guesswork about why some dietary approaches have failed them when they succeed for others.
What most receive: Nothing when the prescription ends.
What they need: A metabolic environment that has been fundamentally recalibrated - through hormonal optimisation, gut health, and body composition changes - so that results persist independently.
Four Biological Drivers.
All Measurable.
All Addressable.
Before we recommend any intervention, we assess every biological variable known to govern body composition. These are not theoretical, they are the specific systems that determine whether an outcome is temporary or permanent.
Your resting metabolic rate is individual, and rarely what any formula predicts.
We measure it precisely using indirect calorimetry. Every nutritional and caloric recommendation follows from the actual number, not a population estimate built on average body composition.
Insulin resistance, thyroid function, cortisol, and sex hormones govern fat storage directly.
No dietary approach overcomes a dysfunctional hormonal environment. We assess the complete hormonal picture and address each driver clinically, before any other intervention begins.
Your response to specific foods is written in your DNA. Most clinicians never read it.
Nutritional DNA analysis identifies how your body processes carbohydrates, dietary fats, and specific macronutrient ratios. It eliminates dietary guesswork, and explains why the same diet produces different results in different people.
The gut governs metabolic efficiency, inflammatory load, and appetite regulation.
Full microbiome sequencing identifies the specific bacterial imbalances that may be limiting your metabolic response, and allows us to address them with clinical precision, not general probiotic advice.
|
Medical Weight Loss & Hormone Programme Complete 6 Month Programme |
|
|---|---|
| PROGRAMME OVERVIEW | |
| Single, physician-led programme delivered in two stages | ✔ |
| Comprehensive diagnostic assessment + six months of physician-led clinical management | ✔ |
| Payable in full or by monthly direct debit across the programme term | ✔ |
| STAGE 1: DIAGNOSTIC ASSESSMENT | |
| DEXA Body Composition Scan: fat mass, muscle mass, visceral fat and bone density | ✔ |
| Resting Metabolic Rate (RMR): precise measurement of calories burned at rest | ✔ |
| Continuous Glucose Monitoring (CGM): 14-day sensor | ✔ |
| Comprehensive Blood Panel & Hormone Profile | ✔Full hormone profile alongside metabolic biomarkers |
| Physical Activity Questionnaire (PAQ) | ✔ |
| Nutritionist Session: personalised nutrition plan built from your bloods, DEXA and RMR | ✔ |
| Baseline Clinical Observations: full physical assessment and health history review | ✔ |
| Consultation with LMI Doctor: eligibility assessment and personalised programme design | ✔Includes medication eligibility assessment |
| Medication Guidance & Prescribing, where clinically appropriate | ✔Medications with ongoing oversight by your LMI Doctor |
| STAGE 2: INCLUDED EVERY MONTH | |
| Monthly review with your dedicated LMI Doctor | ✔Telehealth |
| Medication dose review and adjustment | ✔ |
| Ongoing clinical support and guidance from your LMI team | ✔ |
| SCHEDULED CLINICAL REVIEWS | |
| Month 3 | Nutritionist session + comprehensive blood panel retest |
| Month 6 | DEXA rescan versus baseline, blood panel retest and outcome consultation |
| OPTIONAL ADD-ONS | |
| Exercise Physiology Assessment: personalised exercise prescription based on your DEXA and RMR results | |
| AI Health Platform Access: longitudinal biodata, biomarker trends and clinical insights between visits | |
Important: Additional Charges. The fees above cover the services listed only. Any medications, prescriptions, additional testing, specialist referrals, or services outside the stated inclusions will be charged separately. All costs will be discussed with you prior to proceeding. Medications prescribed as part of this programme are billed separately in accordance with applicable regulations.
what's included
The Complete Programme.
Nothing Left Unassessed.
Every element of the Medical Weight Management Programme, from initial metabolic workup to ongoing physician oversight.
Clinical Assessments
- Physician-led metabolic consultation
- DEXA body composition, fat, lean, visceral
- Resting metabolic rate, indirect calorimetry
- Full hormonal panel
- Clinical dietitian assessment
- Exercise capacity assessment (physiotherapist)
- Sleep architecture & cortisol analysis
Advanced Diagnostics
- Comprehensive metabolic blood panel
- Insulin sensitivity & fasting glucose
- Advanced lipid fractionation
- Full thyroid panel
- Sex hormone panel
- Inflammation markers, hs-CRP, IL-6
- Nutritional DNA analysis
- Continuous glucose monitoring, 4 weeks
Ongoing Clinical Management
- Personalised metabolic clinical protocol
- Physician-prescribed pharmacological support where clinically indicated
- Genetics-based precision nutrition plan
- Exercise prescription for metabolic health
- Hormonal optimisation where indicated
- Monthly physician reviews
- Ongoing prescription management
What each assessment involves
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Inside the Diagnostic Assessment
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Gold-standard cardiopulmonary exercise test measuring your aerobic capacity and cardiorespiratory function, one of the strongest predictors of long-term health and performance ceiling.
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Lung function assessment (FEV₁, FVC and ratio) to characterise your respiratory capacity and identify any limitation.
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Measures your lean muscle mass, fat mass, visceral fat and bone density with clinical precision, including regional and left-to-right muscle balance relevant to performance and injury risk. Not just your weight, but exactly what your body is made of.
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A full hormone profile (including sex hormones, SHBG and thyroid function) alongside metabolic, cardiovascular and inflammatory biomarkers.
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Assesses your cardiac response under exertion to establish a safe baseline before any increase in training intensity.
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A validated assessment of your current activity levels, informing a realistic and personalised exercise prescription.
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A dedicated session with an exercise physiologist and a personalised exercise prescription built from your VO₂ max, DEXA and stress ECG results.
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Full physical assessment and health history review with your LMI Doctor.
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Eligibility assessment and personalised programme design based on your results.
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Prescription of hormone therapies and peptides where clinically appropriate, with ongoing oversight by your LMI Doctor.
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EEG brain scan and an immersive VR-based cognitive assessment, evaluating brain activity alongside cognitive performance: processing speed, memory and focus.
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Secure access to your longitudinal biodata, biomarker trends and clinical insights between visits.
From First Conversation
To Lasting Metabolic Change.
The complete clinical picture, before anything else.
A full consultation reviewing your metabolic history, previous attempts at weight management, current medications, and goals. Your physician establishes your clinical picture and discusses what this programme looks like for you specifically, before you commit to anything.
Every biological driver, identified and measured.
Blood panel, DEXA, resting metabolic rate, hormonal panel, nutritional DNA, and four weeks of continuous glucose monitoring. The complete biological picture of your metabolic state, before any clinical intervention begins.
A clinical plan built from what your biology actually shows.
Nutrition, exercise, hormonal management, and where clinically appropriate, physician-prescribed pharmacological support, all initiated under full physician oversight and built around your individual metabolic picture, not a standard protocol.
Measured. Adjusted. Never left unmanaged.
Monthly clinical reviews track measurable outcomes, including body composition change, blood markers and hormonal response, and adjust the protocol accordingly. Your physician manages the programme actively, for as long as it continues.
On pharmacological support.
Where physician assessment determines that prescription pharmacological treatment is clinically appropriate as part of your metabolic management protocol, this is discussed in full during your initial consultation, in the context of your complete clinical picture, your medical history, and your goals.
All prescription decisions at LMI are made individually, by your physician, based on clinical assessment. They are managed throughout the programme with monthly monitoring. LMI does not issue prescriptions without prior physician consultation and a full metabolic workup.
The body you want is a metabolic problem.
We solve metabolic problems.
The first conversation is with a physician. They will review your history, assess your clinical picture, and tell you honestly what this programme looks like for you specifically.