1. These are programmes, not appointments

The most important difference between this category and an aesthetic treatment is that it is ongoing. There is an assessment, a plan, a starting point, and then review — and the review is not optional, it is part of the treatment.

That shapes everything else about how it is approached, including why nothing here can sensibly be published as a fixed protocol.

2. It begins with assessment

A first appointment covers your symptoms, your relevant medical and family history, what you have tried before, your medications, and what you are actually hoping to change.

Laboratory testing is part of that picture where it is appropriate. Results are interpreted alongside how you feel and what you are experiencing — a number on its own does not make a treatment decision.

3. Hormone therapy

Hormone replacement therapy is considered for individualized management of symptoms associated with hormonal changes. Whether it is appropriate for you, what form it takes and how it is monitored are decided from your assessment.

Hormone therapy carries risks as well as potential benefits, and those depend on your own history. A proper consultation covers both sides. If a conversation about hormone therapy only covers benefits, it is not a complete conversation.

Nothing about dosing or regimen belongs on a website. It belongs in a consultation with your own history in front of the provider.

4. Medical weight management

Medical weight management, including GLP-1 medications such as semaglutide where they are appropriate, is offered as a supported programme rather than a prescription handed over.

  • Eligibility is assessed — these medications are not appropriate for everyone, and some histories rule them out.
  • There is ongoing support and monitoring rather than a single visit.
  • Side effects and what to do about them are discussed before you start, not after.
  • Nutrition and lifestyle are part of the plan, not an afterthought.

5. Monitoring and review

Follow-up is where a programme like this is actually delivered. How you are responding, how you feel, whether anything needs adjusting and whether it remains appropriate to continue are all reviewed over time.

Treatment frequency, product selection and protocols are individualized following consultation and assessment, and they can change as you go. That is the point of reviewing.

6. What to bring to a first appointment

  • A list of every medication and supplement you take.
  • Any recent laboratory results you already have.
  • Relevant medical and family history, including anything you are unsure is relevant.
  • What you want to be different — described in terms of how you feel and function, not only in numbers.