Medical Weight Loss

& Hormone Program

For those seeking medically supervised weight loss alongside hormonal health

Body composition is a medical matter.
It has always deserved to be treated as one.

Used correctly, the advances in metabolic medicine are profound.

Most people are not experiencing them correctly.

Weight loss medications (GLP-1 agonists) are being prescribed in 5 minute consultations, without examination, without monitoring, and without any of the clinical infrastructure that determines whether the outcome is meaningful, or merely temporary.

At LMI, we begin where most clinicians stop. A complete metabolic workup. A physician who remains involved. And the clinical discipline to understand that what happens inside the body during treatment matters as much as what happens on the scale.

They are being prescribed for. They are not being cared for. This programme exists because there is a considerable difference between the two.

Lean mass 28.7 kg
Optimal
Body fat 18.7 %
Optimal
Lean mass
kg
0
78th
Percentile
Fat mass
kg
0
32nd
Percentile
Bone density
g/cm²
0
88th
Percentile
Metabolic score
/100
0
Optimal
Range
Body composition over time
Lean mass Body fat % Bone density
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

The scale tells you one number.
We need to know three.

"We scan every patient at the start and monitor throughout. Not because it is good practice. Because without it, we are not actually managing anything."

Weight is a single, blunt measure. It tells you nothing about what the body is actually losing, or what it is protecting. During medically managed weight treatment, two things matter enormously and are almost universally ignored: bone density and muscle mass. Without DEXA scanning at the outset and throughout, significant loss of both can occur entirely undetected. The number on the scale improves. The body, in ways that matter far more for long-term health, may be quietly deteriorating.

The clinical foundations of the program

1

Metabolic architecture, established before treatment begins.

Resting metabolic rate, insulin sensitivity, hormonal panel, full blood assessment. The complete biological picture, measured precisely, before any clinical recommendation is made.

2

Body composition, tracked throughout, not assumed.

DEXA scanning at baseline and at intervals throughout the programme. Bone density and muscle mass monitored with the same rigour as weight, because they matter more.

3

Physician oversight, monthly, without exception.

Your physician reviews your clinical results each month. Prescriptions are adjusted. Body composition data is assessed. The protocol evolves with what your biology actually shows.

What is included

Every element; from initial physiological workup to ongoing physician management.

Clinical assessments
  • Physician-led performance consultation
  • VO2 max - cardiopulmonary exercise test
  • DEXA body composition - fat, lean, visceral
  • Strength & power assessment
  • Heart rate variability & sleep analysis
Advanced diagnostics
  • Comprehensive blood panel
  • Full hormonal panel - testosterone, cortisol, thyroid
  • Inflammation markers - hs-CRP, IL-6
  • Micronutrient & iron studies
  • Cognitive & EEG assessment - add-on
Ongoing management
  • Personalised training prescription
  • Recovery & sleep protocol
  • Hormonal optimisation where indicated
  • Clinical nutrition advice
  • Monthly physician reviews

Cognitive and EEG assessment is available as an add-on to the Performance Program and is included as standard in LMI's annual programs.

Where hormonal optimisation is clinically indicated, this is discussed during your initial consultation and managed under monthly physician review.

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 program looks like for you specifically.