Is our Weight Management service right for you?

Start with these four questions

• Is your BMI 30 or above? (Or 27+ with a weight-related health condition like type 2 diabetes, hypertension, sleep apnoea, or fatty liver)

• Have you tried lifestyle changes for at least three months without meaningful sustained progress?

• Are you committed to at least 12 months of treatment plus lifestyle work alongside?

• Do you understand that medication is a tool, not a cheat code?

If you answered yes to all four, our service is likely a good fit. If not, it may not be the right next step.

Our service is probably right for you if...

• Your BMI qualifies you clinically for GLP-1 medication

• You have been on an NHS waiting list and cannot keep waiting

• You want clinician-led care

• You value the in-person option at Westfield London even if you start online

• You want medication delivered same-day, not three days later

• You want the full clinical context: bloods, body composition, cardiovascular risk

• You value transparent upfront pricing with no hidden fees

Our service may not be right for you if...

• Your BMI is below 27 and you have no weight-related health condition (medication is not appropriate)

• You have a personal history of pancreatitis (we will not prescribe)

• You have a personal or family history of medullary thyroid cancer or MEN2 (contraindicated)

• You are pregnant, planning pregnancy within 6 months, or breastfeeding

• You have active type 1 diabetes (GLP-1s are not appropriate)

• You have a serious active eating disorder (anorexia or bulimia)

• You are under 18 (we see adults only)

• You qualify for NHS Tier 3 services and are happy to wait

In any of the above we will not proceed with medication. We may refer you onward or discuss alternatives.

The NHS Tier 3 and Oviva options

If you live in England and qualify (BMI 35+ with comorbidity, or BMI 30+ in higher-risk ethnicities), your NHS GP can refer you to Tier 3 weight management services that prescribe Wegovy and (increasingly) Mounjaro at no cost to you.

Oviva also runs an NHS-contracted programme with digital delivery and shorter waits than regional Tier 3. Check with your GP whether this is commissioned in your area.

These are genuinely good options if you qualify and can wait. We will tell you honestly if they suit you better than paying privately.

Our full NHS vs private comparison.

What about diet and exercise alone?

Lifestyle change works for many people, particularly at BMI below 30 or earlier in a weight-gain trajectory. We respect this route and will not push medication on anyone for whom it is not clinically appropriate.

For patients in the middle ground (BMI 30-32, no comorbidities, never tried structured support), an initial 3-month period of dedicated dietary and exercise work before medication is often the right sequence. We can refer to a weight-loss dietitian or exercise physiologist.

What about bariatric surgery?

For patients with BMI 40+, or BMI 35+ with significant comorbidity, bariatric surgery (sleeve gastrectomy or Roux-en-Y bypass) is an excellent option with durable 5-year and 10-year outcomes. We can refer to established surgical teams.

Medication and surgery are not mutually exclusive. Some patients use GLP-1 medication to reduce surgical risk before surgery, or to maintain weight after surgery if it regains.

Still not sure?

Start the consultation. The pre-assessment questionnaire is free to complete. If your answers indicate GLP-1 medication is not appropriate, we will tell you honestly before you pay anything.

Begin your consultation at this link.