Metabolic Optimization · Dr. Romanos Practice
Physician-led weight management — metabolic diagnostics, individualised strategy, medication support where indicated.
Structured · Medical · Evidence-based
Context
Weight gain is rarely just about calories. Metabolism, hormones, insulin resistance, stress, sleep and lifestyle are interconnected. Without a systematic approach, results don't last.
Your metabolism is unique — shaped by genetics, hormones, inflammation, and thyroid function. We measure this, not guess it.
Insulin, cortisol, thyroid, and sex hormones drive weight gain and loss. If they're imbalanced, willpower alone won't help.
No generic diets. We build a plan based on your metabolic status, medical history, and what's realistic for your life.
When medically indicated, GLP-1 therapy or other medications can help break a plateau. Always with full transparency about benefits and risks.
How It Works
Detailed history of your weight, medical background, medications, eating patterns, stress, sleep and exercise. We determine what factors are driving your weight gain before ordering any tests.
Blood work focused on your specific situation: thyroid function, insulin resistance, glucose tolerance, inflammation markers, micronutrient status, and where indicated, hormone profiles. Not a screening — a diagnostic plan.
Based on findings, we develop a concrete plan: lifestyle changes, nutritional strategy, medications if appropriate. Regular follow-ups with objective measurements to track progress and adjust as needed.
Medication
GLP-1 receptor agonists (such as Ozempic or Wegovy) can be effective tools for weight management — but only when medically appropriate. They work best in people with insulin resistance, metabolic dysfunction, or plateau despite sustained effort.
These are not cosmetic aids. They carry real benefits and real risks. We prescribe them based on clear medical indication, with full transparency about what to expect, side effects, and cost. The medication supports your efforts — it doesn't replace them.
Not everyone needs medication. But everyone deserves a thorough medical assessment to understand what's driving their weight.
Costs
The initial consultation is covered by mandatory health insurance (KVG). Standard blood work falls under routine care coverage.
Extended metabolic panels or additional hormone testing are discussed transparently in advance. Costs vary depending on what's medically indicated.
We discuss everything upfront — consultations, tests, and any medications. No hidden fees or unexpected bills. Your choice at every step.
FAQ
No. This is a physician-led medical assessment of your metabolism. We do not prescribe diets or weight loss programs. We diagnose the underlying mechanisms and support a sustainable approach with medication where medically indicated.
GLP-1 therapy is only prescribed on clear medical indication — not on demand. We first assess your metabolism, insulin resistance, and other contributing factors. If medication is appropriate, we discuss benefits, risks, and realistic expectations transparently.
That depends on the underlying causes and your individual response. The initial assessment takes 60–90 minutes. Most people see changes within 8–12 weeks, but sustainable weight management is a process, not a quick fix.
The initial consultation is covered by basic health insurance (KVG). Additional metabolic diagnostics (blood work, sometimes additional analyses) are discussed transparently in advance. Medication costs depend on the substance used.
No. You can book an appointment directly online. You are welcome to bring any existing medical records or test results.
That is valuable information. We will advise you honestly about what we found — whether lifestyle factors are key, whether a different investigation is needed, or whether a second opinion would be appropriate. Not every weight issue requires medication.
Not every weight issue requires medication. But each deserves a thorough medical assessment. We decide this together — based on medicine, not trends.