Weight loss and obesity — a clinical approach

If the scale won't budge even though you're trying, it's not just a willpower issue. It's about hormones, sleep and genetics.

The root causes of overweight are usually biological: insulin resistance, leptin, thyroid, cortisol, sleep and genetic background. In clinic we map, medically, what is keeping your weight up, and build a personal 30–90-day programme. Where warranted, we also support with medication — including GLP-1, thyroid correction or other clinically justified medicines — always under a doctor's supervision.

Dr Saadi

„Weight loss can feel impossible on your own. But when we understand what is actually happening in your body, we can start changing it together.

Dr Saadi

You are not alone

First we listen, then we measure, then we help

Our clinical programme doesn't start with a diet. We start with listening and measuring — your hormones, sleep, stress and genetics. Only then do we build a plan that works for your body.

Book a consultation

Why weight stays

Six biological reasons ordinary diets miss

Without understanding these, weight often stays put even when you're "eating right".

Insulin resistance

High insulin blocks fat burning. Without assessing it, a nutrition plan often falls flat.

Leptin and appetite

In leptin resistance the brain doesn't "hear" satiety — hunger persists after meals.

Thyroid and cortisol

Hypothyroidism and chronic stress slow metabolism and drive abdominal fat.

Sleep and circadian rhythm

Under 7 hours of sleep raises hunger hormones. A plan without sleep doesn't work.

Genetic background

MC4R, FTO, APOE and other variants shape satiety, appetite and lipid metabolism.

Medications and history

Some medications, PCOS, menopause and chronic inflammation obstruct weight loss and need clinical evaluation.

How we work

Three steps to your personal plan

Crash diets promise miracles. Our approach promises thoroughness and support that lasts.

1

Listen and map

History, labs, body composition, genetic test when warranted.

2

Build a personal plan

Nutrition, sleep, training, stress regulation. When warranted — medication (for example GLP-1, thyroid correction or other clinically justified medicines).

3

Support for 30–90 days

Repeat labs, adjustments, feedback. The programme ends when weight is steadily coming down and markers have improved.

What we offer

Clinical services that support lasting change

Every step is personalised and overseen by a doctor.

Consultation with Dr Saadi

History, biomarker interpretation, plan. 45–60 min. Remote or in person.

Open: Consultation with Dr Saadi

Lab panels

Insulin, HOMA-IR, HbA1c, lipids, ApoB, thyroid, hormones, inflammation markers. In partner centres.

DEXA scan

Precise fat and lean mass, visceral fat, bone density. Baseline and follow-up.

Genetic test (TellMeGen)

MC4R, FTO and other weight-related variants plus nutrition and training background.

Open: Genetic test (TellMeGen)

Medication monitoring

When a drug is clinically justified — whether GLP-1, thyroid correction or another preparation — we handle prescription, titration, side-effect monitoring and a plan after therapy.

Guided follow-up

30–90 days of structured follow-up: repeat labs, adjustments, reports.

Packages

Choose the package that fits you

Start with a smaller step or choose a structured programme — all prices are transparent and include physician support.

from €300

Consultation — short or long

Book a 25-minute quick review (€300) or a 60-minute in-depth mapping (€490).

  • 25 min / €300
  • 60 min / €490
  • History and lab review
€799

Metabolic health package

In-depth assessment of insulin resistance and metabolism with a personal plan.

  • Extended metabolic panel
  • Physician consultation and interpretation
  • Personal weight-loss plan
€2 490

Weight management programme — 60 days

Two months of structured physician follow-up with repeat labs and plan adjustments.

  • Repeat physician consultations
  • Repeat labs and follow-up
  • Medication support if indicated (GLP-1 etc.)
€4 500

Optimisation programme — 90 days

Three-month programme with the longest follow-up — deepest monitoring, behaviour change and stabilisation.

  • Full metabolic mapping
  • Monthly follow-up and feedback
  • Stabilisation plan at the end

Labs, DEXA and genetic tests are ordered separately in partner centres. The total cost depends on chosen investigations and is discussed before we start.

Is this for you?

Who this programme fits and who it doesn't

We'll be honest: this is not a crash diet. But if you're ready to look at your health as a whole, it may be exactly what you need.

Fits if

  • You have over 3 kg to lose and standard diets have not held
  • You suspect insulin resistance, thyroid or hormone factors
  • You want a clinical plan, not generic nutrition advice
  • You are considering medication (including GLP-1) and want it under clinical supervision
  • You have comorbidities: fatty liver, high cholesterol, prediabetes, PCOS

Doesn't fit if

  • You want a crash diet for a week or two
  • You want only a medication prescription without labs and a plan
  • You expect generic nutrition coaching with no clinical assessment — the Academy educational programme fits better

Academy

Looking for an educational programme, not a clinical consultation?

If you want to learn how weight loss works biologically — without personal clinical responsibility — see the Academy educational programme. Videos, e-materials, community and a structured challenge. It is not medical treatment; it is a course.

  • Video lessons on the biology of nutrition, sleep and stress
  • E-book and workbooks
  • Community and a structured challenge
  • A fit if you have no medical complaints and want to drive it yourself

Frequently asked questions

Medical services are provided by OÜ MediArte. Blood tests, DEXA and genetic testing are carried out in partner centres in Tallinn. This page does not contain personal medical advice.

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