Weight loss clinic in London

Weight gain sometimes has a medical driver, which is why assessment comes before advice. Things we look for include:

• Hormonal changes: the menopausal transition and low testosterone can both contribute to changes in weight and body composition.
• Thyroid and metabolic health: central weight gain can reflect underlying metabolic or hormonal issues that need checking.

• Medication: some commonly prescribed medicines contribute to weight gain – a review can identify them.
• Sleep and energy: poor sleep and fatigue increase appetite and reduce activity.
• Emotional wellbeing: stress, low mood and emotional eating patterns play a major role for many people, and our counselling service can help.
• Lifestyle load: disrupted routines, desk work and caring responsibilities gradually shift habits.

Your first appointment is a medical review of your weight history and health.

Your GP will ask how your weight has changed over time, what you have tried before, what helped, what did not, and what life looks like now: eating patterns, sleep, activity, alcohol, mood, family history and any symptoms that may be relevant. They will also review your current medication, as some medicines can affect weight or influence which treatments are suitable.

Depending on the discussion, your GP may recommend baseline blood tests, such as HbA1c, glucose control, thyroid function, liver and kidney function, and cholesterol. These can help identify underlying factors and give a safe starting point before treatment. Blood tests are charged separately, and your GP will explain any costs before arranging them. For some patients, a broader review through our health checks may be the right next step.

You leave with a clear plan: what we are checking, what can change, what support may help, and when to review progress.

Medical weight management works best with review over time, especially if medication becomes part of your plan. Follow-up lets your GP check how treatment is working, compare blood results, review side effects, and adjust the plan as your health or circumstances change.

At Basuto, you can continue with a doctor who knows what has already been tried, rather than starting again at each appointment. That continuity is often what makes progress feel more manageable.

If you expect regular appointments, membership can make ongoing review easier and more cost-effective. Access membership brings appointments to £80, and Adult membership includes 10 appointments a year. You can also book appointment by appointment if that suits you better.

You do not need to leave your NHS GP to use our weight loss clinic, and anything we find can be shared with your NHS record where useful. Many patients use Basuto for the assessment, time and follow-up they want now, while keeping NHS care for everything it does well.

If specialist input is needed – for example an endocrinology or bariatric opinion – your GP can prepare a clear referral letter for NHS or private care, included in your consultation fee. There is no catchment area: patients come from Fulham, Parsons Green, Chelsea, Putney, Hammersmith, Battersea and across London, and video appointments suit some follow-ups.