Weight and metabolism – a medical assessment

Why isn’t the weight moving? Let’s review the factors that can be measured.

Weight is influenced by insulin, thyroid, cortisol, sleep, medication and genetic background. At a medical appointment we map these markers and discuss which steps are justified in your situation. Outcomes are individual – we do not promise a specific weight loss.

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 program 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.

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 program runs for 30–90 days; results are individual and are reviewed together at follow-up visits.

What we offer

Clinical services that support lasting change

Every step is personalized 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 centers.

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)

Is this for you?

Who this program 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 without a clinical assessment

Frequently asked questions

Who this is for

  • Multiple parallel issues
  • Root-cause search for a chronic symptom
  • Preventive first visit

Who this is not for

  • A single short question (25-min fits better)
  • Emergency care (call 112)

If you’re unsure whether this fits, write to us before booking.

Service facts

Price
€490
Duration
45 min
Sessions
1
Format
In person or video
Results
Summary within 2–3 working days; lab results 1–3 weeks depending on panel.

Included in the price

  • 45-min visit with Dr Sergey Saadi
  • Written summary and next-step plan
  • Blood-test recommendation if needed (tests billed separately)

How the service unfolds

  1. 1Visit 1 · 45 minIn-depth visit at the clinic or by video: history, review of existing labs, a plan and a lab recommendation if needed.
  2. 2Written summaryThe summary and next-step plan are sent within 2–3 working days.

Total timeline: One appointment + summary within 2–3 working days.

The price covers the 45-min visit and the written summary.

Paid separately: Blood tests are billed per the Synlab price list · Program follow-up and nutrition plan are separate services

Before you decide

Questions that usually come up before booking

Why you can trust us

  • Doctor’s appointment

    Appointments are held by Dr Sergey Saadi. Booking and confirmation are always in writing.

  • Booking in the official system

    Appointments are booked in ConnectedOnline – confirmation arrives by email.

  • Your data is protected

    Health data is processed under GDPR and Estonian healthcare requirements.

  • Clear invoice and terms

    The price is shown on the page before you book. Questions: info@synage.ee.

Who this service is not for

Being upfront saves your time and money. This service is not the right choice if:

Not sure? Write to us before booking info@synage.ee

Where next

Related services

Guided programs – 30, 60 or 90 days

If you want longer clinical guidance, you can choose one of three programs. Suitability and scope are decided together at the appointment.

Health optimization program – 30 days

One month of follow-up after the baseline – concrete changes and clinical support.

from €1900

30 days from the first visit.

  • Fit check before any invoice
  • First visit with the doctor and a personal plan
  • Labs twice – at the start and end of the program, at the doctor’s discretion (lab costs included)
  • Ongoing Telegram or WhatsApp support throughout the program
  • Closing appointment with results and a follow-on plan
See details and book

Weight-management program – 60 days

Two months of structured weight management under clinical supervision – labs, plan, follow-ups.

from €2490

60 days from the first visit.

  • Fit check before any invoice
  • First visit with the doctor, body-composition measurement and a personal plan
  • Blood tests twice – at the start and end of the program, at the doctor’s discretion (lab costs included)
  • 14-day continuous glucose monitor (CGM) with interpretation
  • 60 days of clinical supervision and follow-up contacts
See details and book

Health optimization program – 90 days

Three-month comprehensive program – extended follow-up, repeat labs, individual plan.

from €4500

90 days from the first visit.

  • Fit check before any invoice
  • First visit with the doctor and a detailed personal plan
  • Labs twice – at the start and end of the program, at the doctor’s discretion (lab costs included)
  • Interim appointments to adjust the plan
  • A joint grocery-store visit with the doctor – practical guidance on food choices and labels
See details and book
Educational content

If you are looking for Dr Saadi’s educational materials – lectures, articles and learning resources – they live on a separate site.

Go to saadiacademy.ee

A separate learning platform

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