Obesity is defined by excess body fat, particularly visceral and subcutaneous fat, to a degree that impairs health. Stubborn weight gain refers to the experience of fat accumulation that is disproportionate to caloric intake or resistant to standard dieting, which is frequently biological in origin.
Fat storage and fat burning are governed by hormones, not calories alone. Insulin resistance promotes fat storage, particularly visceral fat. Elevated cortisol drives abdominal fat deposition and increases appetite for high-calorie foods. Low thyroid function reduces basal metabolic rate. Low testosterone (in both men and women) reduces lean mass and increases fat mass. Gut dysbiosis alters nutrient absorption and inflammatory signalling in ways that promote fat storage.
Poor sleep independently increases ghrelin (hunger hormone) and reduces leptin (satiety hormone), making caloric control significantly harder. These biological factors compound: each worsens the others, creating a self-reinforcing cycle.
We identify the degree of metabolic dysfunction through comprehensive testing and build a targeted programme — precision nutrition (including carbohydrate management, meal timing, and anti-inflammatory dietary pattern), movement prescription (resistance training is the most effective intervention for insulin sensitivity), sleep optimisation, and targeted supplementation.
Measurable improvement in fasting glucose, HbA1c, insulin sensitivity, and body composition over the programme period. The trajectory of blood sugar control is tracked against repeat testing where requested. Medication reduction or avoidance where clinically appropriate is a goal — always managed in coordination with the client's treating multidisciplinary team.
