Metabolic Optimization · Praxis Dr. Romanos
Weight.
Medically assessed.
Medically-led weight management — with structured diagnostics, clear strategy, and medication support when indicated.
Do you recognize yourself?
Weight gain is rarely just a matter of calories.
Metabolism, hormones, insulin resistance, stress, and sleep work together. If these factors are not systematically addressed, results don't last.
Discipline is there — results are not
You eat consciously, exercise regularly — and still nothing changes on the scale.
Yo-yo effect
Short-term success — but the weight always comes back. Your metabolism works against you.
Visceral fat & risk
Belly fat, elevated lipids, prediabetes — metabolic risk despite a "normal" weight.
Cravings & energy dips
Unstable blood sugar, sugar cravings, energy crashes after eating — signs of metabolic disorder.
Our Approach
Four Steps. Medically Structured.
Medical Assessment
Metabolism profile, hormones, insulin resistance — we identify what controls your weight.
Clear Prioritization
What is medically urgent, what can be optimized? Not everything at once — the right things first.
Individual Strategy
Nutrition, movement, metabolism optimization — and medication when medically indicated.
Follow-up Monitoring
Measurable parameters, regular monitoring, adjustment based on progress — not on guesswork.
For Whom
When metabolic assessment makes sense.
Weight gain despite discipline
Your nutrition and exercise are right — but your body isn't responding as expected.
Repeated yo-yo cycles
Short-term success — long-term failure. Your metabolism adapts; your strategy must too.
Metabolic risk
Belly fat, elevated lipids, prediabetes — metabolic syndrome requires medical assessment.
Cravings & energy crashes
Unstable blood sugar, constant cravings, energy crashes — signs of metabolic disorder.
GLP-1 therapy evaluation
Interested in semaglutide or similar medications? We assess indication — medically, not on demand.
After bariatric surgery
Weight regain after gastric bypass or sleeve? Metabolic follow-up and lab monitoring.
Diagnostics
What we assess — targeted, not routine.
Glucose metabolism
HbA1c, fasting insulin, HOMA-IR — detect insulin resistance before diabetes develops.
Hormonal factors
Thyroid, cortisol, testosterone, estrogen — hormonal imbalances that brake metabolism.
Lipid profile
ApoB, Lp(a), triglycerides — cardiovascular risk independent of body weight.
Inflammation markers
hsCRP, ferritin — chronic inflammation as a driver of weight stagnation.
Comparison
Diet program vs. medical assessment.
Process
Structured — not trial and error.
Medical History
60–90 minutes. Metabolism profile, lifestyle, history, previous attempts. We understand first why prior approaches failed.
Targeted Diagnostics
Glucose metabolism, lipid profile, hormonal factors, inflammation markers. Only what's clinically relevant — no routine panels.
Strategy & Follow-up
Individual strategy with measurable parameters. Medication support when indicated. Regular monitoring and adjustment.
Medical Approach
No lifestyle coaching.
No miracles.
Weight management is not a cosmetic service. It's a medical task — often complex, always individual. We don't promise kilos lost, but clarity about connections.
GLP-1 medications are a tool — not a substitute for diagnostics. We prescribe when medically indicated, not on request. The decision is based on findings, risk assessment, and clinical judgment.
If no metabolic cause exists, we say so honestly. And counsel further — whether a different approach makes sense or referral is recommended.
Indication-based
Medication only when medically indicated — not on request.
Measurable
Lab parameters, not guesswork. Follow-up based on numbers.
Personal
Every assessment and follow-up by the physician personally.
Honest
If we're not the right contact, we say so.
Expectations
What this is not.
This is not a diet program and not lifestyle coaching. We don't offer meal plans, fitness coaching, or blanket supplements.
We don't prescribe GLP-1 medications on request. The decision is based on medical diagnostics, risk assessment, and clinical judgment — not demand.
What we offer: structured medical assessment that shows why prior approaches failed — and what makes sense instead.
From Practice
Case Studies.
Mr. K., 42 years
Weight gain despite exercise
Problem: 12 kg gain in 2 years despite regular training. GP said: "Eat less."
Approach: Fasting insulin 28 mU/L, HOMA-IR 6.2, subclinical hypothyroidism found.
Result: Metformin, thyroid substitution, dietary adjustment — 9 kg loss in 5 months.
Ms. T., 38 years
Cravings & prediabetes
Problem: Severe cravings, energy crashes after eating, BMI 31.
Approach: HbA1c 5.9% (prediabetes), fasting insulin 22 mU/L. Dietary change, GLP-1 therapy after 3 months.
Result: HbA1c 5.3%, cravings greatly reduced, stable values.
Mr. B., 55 years
Metabolic syndrome
Problem: BMI 29, visceral adiposity, triglycerides 3.8, ApoB 1.45, BP 145/92 — never viewed as one.
Approach: Risk stratification, statin, dietary change, structured monitoring.
Result: Triglycerides 1.4, BP 128/82, ApoB 0.9 after 6 months.
Ms. R., 45 years
Yo-yo from crash diets
Problem: Years of yo-yo, at least 5 diets — weight never stable.
Approach: Leptin resistance, low fT3 (conversion deficit), elevated cortisol. No further caloric deficit.
Result: Metabolism stabilization, micronutrient rebalance — first stable weight in 8 months.
Costs
Costs & Insurance.
Mandatory Insurance (KVG)
Consultation and basic lab diagnostics are covered by mandatory Swiss insurance (KVG). Extended metabolic analyses and GLP-1 medications are private services — exact costs are discussed transparently during the first consultation, with no surprises.
Frequently Asked Questions
Good to know.
Is this a diet program?
No. We don't offer diet plans or nutrition programs. Our approach is based on medical diagnostics of metabolic causes and an individual, physician-led strategy.
Do you prescribe Ozempic or Wegovy?
We prescribe GLP-1 medications when there is clear medical indication — not on request. The decision is based on diagnostics, risk assessment, and clinical judgment. Not every patient needs them, not every patient benefits.
How long is the initial assessment?
60–90 minutes. Comprehensive history, clinical assessment, and diagnostic planning. Lab results arrive in 5–10 business days, then results review with concrete plan.
Are costs covered by insurance?
Consultation and basic blood tests are covered by mandatory insurance (KVG). Extended analyses and GLP-1 medications are currently private services — costs are always discussed transparently in advance.
Do I need a referral?
No. You can book directly online. You're welcome to bring existing test results.
What if no metabolic cause is found?
That's important information. We counsel you honestly — whether a different approach makes sense or referral is recommended. Diagnostic clarity always has value.
Clarity instead of crash diet.
If prior attempts have failed, it's not your discipline that needs to change — it's your strategy. Structured medical assessment in Zurich creates clarity.
