Obesity & Weight Management

Obesity can trigger several endocrine conditions such as diabetes and polycystic ovarian syndrome.

Obesity

Our team of doctors use evidence-based treatment of obesity.  We believe that the main driver of obesity is genetic and that the body defends weight vigorously.  Following weight loss, energy expenditure falls and hunger increases, leading to weight regain.  In our program we use a proven method of weight loss and we assist our patients to maintain weight loss with lifestyle changes and when needed, medication to suppress hunger. 

 
 

metabolic syndrome

Metabolic syndrome is a cluster of cardiovascular risk factors including central obesity, hypertension and glucose intolerance or diabetes.  These conditions are linked by insulin resistance caused by obesity.  Thus when we treat obesity we also treat metabolic syndrome

 
 

Weight management resources

 
 

Understanding energy expenditure

To help guide patients in their journey, the first aspect is to understand the energy expenditure. This can be done by leveraging our easy to use calculator / spreadsheet to provide the energy expenditure in Kilojoules and Calories. Information you will need to input in the spreadsheet is the patient’s:

  • weight (kg),

  • height (centimetres),

  • age (years) and a

  • factor for the activity level. Note with most city-living patients the factor is 1.3 (light activity). In bold on the right-hand side of the male and female formulae are the values for the different levels of activity. 

Remember to deduct the value by 1230 kj or 300 calories if the patient is more than 5 % below their peak weight. 

You will need Microsoft Excel to open the downloaded spreadsheet. The formulae can be displayed by clicking on the result cell. The one on the left is in kilojoules and the cell on the right is the conversion to calories by dividing the kilojoules by 4.1. The formulae for men and women are different.

Diet Sheet (VLED)

This two-page diet sheet describes how to do the diet.

On page 1 are a list of foods, herbs and drinks that can be consumed without clearing the ketones.

On page 2 are all the foods that should be avoided when trying to maintain ketosis.