Weight & Metabolism · Praxis Dr. Romanos
Weight management in Zurich.
Medically assessed.
We assess weight and metabolism medically, covered by basic insurance. You get a personal plan and regular follow-ups. We only use medication when there is a medical indication.
Do you recognise yourself?
Weight gain is rarely just a matter of calories.
Metabolism, hormones, insulin resistance, stress and sleep interact. If these factors are not looked at, weight loss often does not last.
Discipline is there, results are not
You eat mindfully and exercise regularly. Still, the scale hardly moves.
Yo-yo effect
It works for a while, but the weight keeps coming back.
Belly fat & risk
Belly fat, raised blood lipids or prediabetes increase the risk for heart and metabolism, even at a «normal» weight.
Cravings & energy dips
Sugar cravings and tiredness after meals can be linked to blood sugar.
How it works
What to expect.
Consultation
New patients start with a «Medical Consultation». The extended consultation (about 40 minutes) covers weight history, eating habits, sleep, exercise, medication and previous attempts. Plus weight, blood pressure and waist circumference.
Lab tests if needed
If medically useful: blood sugar (HbA1c), blood lipids, liver, kidney and thyroid. We tell you beforehand whether to come fasting.
Personal plan
Nutrition, exercise and sleep. Enough protein and strength training so you keep your muscles while losing weight. Medication only when medically indicated.
Follow-ups
We review your progress and adjust the plan. With medication you come for a check every 4 to 8 weeks while the dose is being adjusted.
For whom
When a medical assessment makes sense.
Weight gain despite discipline
Diet and exercise are right, but your weight does not respond as expected.
Recurring yo-yo effect
It works short term, not long term. We look for a plan that fits your everyday life.
Metabolic risk
Belly fat, blood lipids, prediabetes: metabolic syndrome needs a medical assessment.
Cravings & energy dips
Sugar cravings and energy dips after meals: we check your blood sugar.
Asking about GLP-1
We do not prescribe GLP-1 medication (weight-loss injection) on request. If the doctor sees a medical indication after the assessment, he will suggest it himself.
After bariatric surgery
Weight regain after gastric bypass or sleeve? Follow-up care and lab checks.
Foundation
Assessment first.
Before we talk about medication, we look for possible causes, for example blood sugar, blood lipids, thyroid, liver and kidney. This assessment is a medical service and is covered by basic insurance.
New patients book a «Medical Consultation» online. If a more detailed assessment is needed, we plan it together.
Comparison
Diet program vs. medical assessment.
Medical approach
No lifestyle coaching.
No miracles.
Weight management is not a cosmetic service but a medical task. We do not promise kilos, we give you an honest assessment.
GLP-1 medication is a tool, not a substitute for an assessment. We do not prescribe it on request. If the doctor sees a medical indication, he suggests it himself: BMI 30 or more, or BMI 27 or more with a related condition such as prediabetes, high blood pressure, raised blood lipids, sleep apnoea or fatty liver.
If there is no metabolic cause, we tell you honestly. And we discuss whether another approach or a referral makes more sense.
Indication-based
Medication only when medically indicated, not on request.
Measurable
Weight, waist and lab values over time.
Personal
Every assessment and every follow-up by the doctor in person.
Honest
If we are not the right place for you, we say so.
Expectations
What this is not.
This is not a diet program or lifestyle coaching. We do not offer meal plans, fitness coaching or supplement packages.
We do not prescribe GLP-1 medication on request and we do not sell a weight-loss package. The doctor decides on medication after the assessment and a risk evaluation.
What we offer: a medical view of why previous attempts have not worked, and what makes sense instead.
Costs
What basic insurance covers, and what it does not.
Assessment & follow-ups
basic insurance, billed per TARDOC
Consultation, examination, medically justified lab tests and follow-ups are medical services covered by basic insurance. Your deductible and co-payment apply.
Nutritional counselling
on medical prescription
From BMI 30, or lower with a related condition, nutritional counselling is covered by basic insurance, as a rule twelve sessions per year. It is given by recognised dietitians; we write the prescription.
Medication
outside the KVG limitation
Basic insurance only pays for GLP-1 medication within the limitation set by the Federal Office of Public Health, with strict criteria and prior approval. Outside of it, you pay for the medication yourself. We check in the consultation whether you meet the criteria.
We do not offer a weight-loss package or a monthly fee. We discuss the cost of any medication with you before you start.
FAQ
Good to know.
Is this a diet program?
No. We do not offer diet plans or nutrition programs. We assess the medical causes and draw up a personal plan with you.
Do you prescribe weight-loss injections (GLP-1)?
Not on request. The doctor suggests GLP-1 medication himself if he sees a medical indication after the assessment: BMI 30 or more, or 27 or more with a related condition such as prediabetes, high blood pressure, raised blood lipids, sleep apnoea or fatty liver. We do not issue a prescription without an assessment at the practice.
How often do I need a check-up?
With GLP-1 medication every 4 to 8 weeks while the dose is being adjusted: weight, side effects and progress. Without medication as agreed.
How do I book as a new patient?
New patients book a «Medical Consultation» online. If a more detailed assessment is needed (about 40 minutes), we plan it together. We discuss lab results at a follow-up appointment.
Are the costs covered?
Assessment and follow-ups are medical services and are covered by basic insurance; your deductible and co-payment apply. Basic insurance only pays for GLP-1 medication within the official limitation, otherwise you pay for the medication yourself. We do not offer a weight-loss package or a monthly fee.
What can I do myself?
Eat enough protein and do regular strength training. This helps you keep your muscles while losing weight, with or without medication.
Do I need a referral?
Not with free choice of doctor. If you have a family doctor or Telmed model, please check with your insurer first. You are welcome to bring existing results.
What if no metabolic cause is found?
That is important information. We tell you honestly and discuss whether another approach or a referral makes more sense.
Clarity instead of crash diets.
If previous attempts have not worked, you often do not need more discipline but a medical assessment. Book a consultation at the practice at Zurich main station.
