A person walking along a ridge at dawn, above the clouds

Treatment

Treating obesity
as what it is

A chronic disease, with biological causes and a long-term solution. Not a lack of willpower or a problem with the scale.

What changes

Two people with the same weight can need very different things. That is why we understand first and treat afterwards.

Body compositionWaistBlood testsBlood pressureHow you sleepSnoring and apnoeaMedicines that cause weight gainSince when
What you have triedGrip strengthRising from a chairMoodBinge eatingFatty liverWhether you want a pregnancyWhat limits you each day

We find out what is going on: since when, what you have tried, what medicines you take, how you sleep and what has already changed in your health.

The Spanish GIRO guideline asks for the same: not to stop at body mass index, to measure body composition and to guide treatment according to complications and limitations in daily life.

SEEDO, GIRO guideline, 2nd edition, 2024.

How it works

The pieces of treatment

Each person needs a different combination

Nutrition

01

Nutrition

Eating what you need, with enough protein and a plan you can maintain

Dietitian-nutritionist, with your doctor

See nutrition
Training

02

Training

Preserving muscle and bone while you lose fat

Graduate in Physical Activity and Sport Sciences

See training
Psychology

03

Psychology

Mood, emotional eating, binge eating and relapses

Licensed health psychologist

See psychology
Medicines

04

Medicines

Reducing hunger and weight, only if indicated and always with the above

Your doctor, with a prescription and follow-up

Surgery

05

Surgery

The most durable option in severe obesity

We don't perform or assess for it: we direct you to the reference clinic in your city

With data

What you can expect,with real figures from day one.

15-21 %

of body weight, on average, with current medicines in just over a year, with large differences between people.

5-10 %

loss already improves glucose, blood pressure and triglycerides in people with diabetes, and greater loss usually brings more benefit.

2 in 3

kilos lost were regained within a year when the medicines were stopped without a plan. That is why the exit is agreed before starting.

Wilding 2021, N Engl J Med, PMID 33567185 · Jastreboff 2022, N Engl J Med, PMID 35658024 · Wilding 2022, Diabetes Obes Metab, PMID 35441470 · Wing 2011, Diabetes Care, PMID 21593294.

How much weight you can expect to lose (in Spanish)
“Two people with the same BMI can need opposite things. One only needs follow-up; the other needs treatment now.”
Dr. Juan FabianiMedical director

Who it's for

Does any of this
sound familiar?

Tick the ones that apply to you. We don't save anything: it's just for you.

Having an indication doesn't commit you to anything. And if you don't need treatment, we will tell you.

Two cities,
one method

Questions

What people ask us most

See all questions
Do I always have to take a medicine?

No. It depends on your situation, what you have already tried and what you prefer. If it is indicated and you want it, it is used alongside nutrition and strength, not instead of them.

How long does treatment last?

Obesity is chronic, so it is approached long term. Reviews are spaced out once you are stable, and maintenance is part of the plan.

Do you offer bariatric surgery?

No, and we don't assess for it either. If you meet the criteria, we'll tell you, and the reference clinic in your city is the one that assesses you.

What if I'm only overweight?

It depends on how it is affecting your health. We look at your waist, body composition and blood tests. Sometimes habit changes and follow-up are enough.

Live longer. Live better.

The best years of your life may still be ahead of you.

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