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 ends when weight is steadily coming down and markers have improved.

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)

Packages

Choose the package that fits you

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

€300–€490

Consultation — short or long

Book a 25-minute quick review (€300) or a 45-minute in-depth mapping (€490).

  • 25 min / €300
  • 45 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
Choose package
€2490

Weight management program — 60 days

Two months of structured physician follow-up and plan adjustments. Blood tests twice (at the start and end of the program, at the doctor's discretion) and a 14-day CGM monitor are included.

  • Repeat physician consultations
  • Telegram or WhatsApp support
  • Medication support if indicated (GLP-1 etc.)
  • Blood tests twice — included in the price
  • 14-day CGM monitor
See program Book
€4500

Optimization program — 90 days

Three-month program with the longest follow-up — deepest monitoring, behavior change and stabilization.

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

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

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 with no clinical assessment — the Academy educational program fits better

Academy

Looking for an educational program, not a clinical consultation?

If you want to learn how weight loss works biologically — without personal clinical responsibility — see the Academy educational program. 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

Who this is for

  • Weight-loss goal of 3+ kg
  • Needs clinical supervision (e.g. IR, hormones)

Who this is not for

  • Eating-disorder treatment (needs specialist)
  • Pregnancy

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

Service facts

Price
from €2490
Format
In person or video
Results
60 days from the first visit.

Included in the price

  • 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
  • Telegram or WhatsApp support throughout the package
  • Closing appointment with results and a follow-on plan

Not included

  • Medication, supplements and food costs
  • Genetic test and microbiome analysis (separate services)

How the service unfolds

  1. 1Step 1 · Fit checkWe review the goal and medical background — invoicing only after that.
  2. 2Step 2 · First visit and baseline labsBaseline, measurements and a personal plan. The appointment can be on-site or by video/phone.
  3. 3Step 3 · 60 days of follow-upRegular clinical supervision and support in Telegram or WhatsApp.
  4. 4Step 4 · Closing visitReview of results and the plan going forward.

Total timeline: 60 days from the first visit (+ a fit check before the start).

The price covers the appointments, labs twice (at the start and end of the program, at the doctor's discretion) and Telegram/WhatsApp support.

Paid separately: Additional tests outside the program if needed

Terms

Appointments
3 appointments
Appointment lengths
45 min + 30 min + 45 min
Whole process
60 days
Payment
No prepayment — invoice after the fit check
Support and replies
Doctor · Medical questions are answered by the doctor, organizational ones by the assistant — as soon as possible (Telegram / WhatsApp, on business days)

You receive in writing

  • · Personal plan
  • · Final summary

Possible additional tests

  • · Kraft insulin test

Possible additional costs

  • · Investigations beyond the two lab cycles

Where the service takes place

  • · The program requires being able to attend sampling in Estonia

No prepayment is required — the invoice follows the fit check. Individual appointments can be moved free of charge up to 24 hours in advance; if a program is discontinued, only the part already delivered is payable. Terms of purchase

How support works

Channel:
Telegram or WhatsApp (for the duration of the program)
Who replies:
Dr Sergey Saadi; administrative questions are handled by the clinic office

Included in support

  • Clarifying questions about the agreed plan
  • Adjusting the plan between appointments
  • Sending and reviewing labs taken during the program
  • Reporting a side effect or feeling unwell (the doctor decides whether a visit is needed)

Requires a separate appointment

  • A new health problem outside the program topic — a separate appointment
  • Prescribing or changing medication without an appointment
  • Sick leave, certificates and referrals
  • Questions about other family members

After the service ends: When the program ends the support channel closes. Your written summary and monitoring plan stay with you; to continue you can book a new appointment or agree a follow-up.

In an acute or life-threatening situation call 112 or go to the emergency department — the support channel is not emergency care.

What you end up with

  • A structured written summary of the assessment
  • Interpretation of your labs with the doctor's comments
  • A priority list — what to start with and in what order
  • A monitoring plan with a timeframe
  • A list of the changes discussed
  • A list of questions for other specialists, where a referral is justified
  • An agreed next checkpoint with a date

What we do not guarantee in advance

  • A specific amount of weight loss or body-composition change
  • Normalisation of a particular marker
  • Identifying one single cause
  • Stopping medication
  • That no other specialists will be needed

What the price covers

  • All doctor's appointments included in the program
  • The doctor's preparation and plan build
  • Lab interpretation and a written summary
  • Plan adjustments during the program
  • The support channel for the duration of the program
  • Repeat measurements listed in the program description
  • Coordination with the lab and scheduling

Before you decide

Questions that usually come up before booking

Why you can trust us

  • Licensed provider

    Medical services are provided by OÜ MediArte, license L07540. Appointments are held by a doctor.

  • 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

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