01 / The basicsWAISTY / KNOWLEDGE & PERSPECTIVE

What does medical weight management involve?

Understand the options, who assesses your needs and where to start. A guide to help you prepare for a first conversation.

THE ESSENTIALS

The short answer

Medical weight management is care for overweight or obesity provided by healthcare professionals. It can involve lifestyle support, sometimes alongside medication or surgery. The options depend on your health, what you have already tried and your circumstances.

  • Lifestyle support remains part of care, including when medication is prescribed.
  • A clinician assesses treatment options; an online guide cannot give a medical verdict.
  • Compare ongoing support, total costs and the longer-term plan.
Photography is illustrative.

Different kinds of support

Care for overweight and obesity can include lifestyle support, sometimes medication and, in certain circumstances, surgery. A doctor can discuss what is appropriate for your health. When looking at a service, ask what treatment involves, who carries out the assessment and what other options you could consider.

A number gives you part of the picture

BMI can help inform a discussion about health risks. Waist size, other health conditions and possible underlying causes also matter. An online calculation cannot establish which treatment you need. Before your appointment, make a note of what you notice in daily life and where you would like support.

Talk about your expectations

What would you like to do or change? You might want to discuss movement, sleep, eating or how much you think about your weight. Ask what changes you can reasonably expect, how progress will be reviewed and what happens if the approach offers little benefit. Ask about appointments, time commitments and personal costs too.

Start with a conversation

Bring your main questions and a summary of previous attempts to your GP or treating doctor. You can ask for an explanation before choosing a treatment, read more at home and arrange a follow-up. Waisty’s orientation tool helps you organise your questions. Your doctor carries out the medical assessment.

A practical overview

Scroll sideways if needed to see every column.

Types of support for overweight and obesity
Type of careWhat does it involve?What should you ask first?
Lifestyle supportHelp with habits such as eating, movement and sleep. A Dutch GLI is a structured lifestyle programme.What support will I receive, from whom and for how long?
Treatment with medicationMedication may be used alongside lifestyle support in certain circumstances. A doctor assesses and monitors treatment.What are the benefits and drawbacks for me, and how will progress be reviewed?
SurgeryFor some people, a stomach reduction or another weight-loss operation may be an option following medical assessment.How would preparation, surgery and follow-up care affect my daily life?

SOURCES & EDITORIAL CONTEXT

Sources and context

General information to help you prepare. This article has not been individually reviewed by a clinician. A qualified clinician can advise you on your own circumstances.

Our editorial approach

AT YOUR OWN PACE

What support
would you like?

Find support

Three questions. Then choose whether to request contact with a care provider.