Diagnosis in cases of medically induced weight loss
Why systematic weight loss is impossible without diagnosis
Medical weight loss begins with an accurate assessment of the body's condition.
After a consultation with a doctor, an individual examination plan is developed.
Diagnostics allows you to:
- confirm or rule out insulin resistance
- assess the state of carbohydrate metabolism
- detect hormonal disorders
- identify metabolic risks
- avoid unjustified treatment prescriptions
Weight loss without diagnostics is an experiment.
Weight loss with diagnostics is a controlled process.
Metabolic profile
The basic examination is the “Metabolic Profile” package.
It includes:
- blood glucose
- insulin
- HOMA index
- glycated hemoglobin
- complete lipid profile
- liver function tests
- biochemical blood analysis
- iron metabolism indicators
- prolactin
These indicators allow you to assess insulin resistance, the risk of metabolic syndrome, and the overall state of metabolism.
Hormonal diagnostics
Hormonal assessment is performed to determine the causes of metabolic disorders and difficulties with weight loss.
Assessment of thyroid function
The following are examined:
- TSH
- free T4
- free T3
- antibodies (as indicated)
In the presence of autoimmune thyroiditis or other disorders, the scope of testing is expanded.
Sex hormone assessment
Performed in the presence of clinical signs of hormonal imbalance or concomitant pathology.
May include:
- Testosterone
- Dihydrotestosterone
- sex hormone-binding globulin (SHBG)
- estradiol
- progesterone
- LH
- FSH
The test is recommended for:
- menstrual cycle disorders
- premenopause and menopause
- decreased libido
- long-term hormone therapy
- use of contraceptives
Hormonal balance directly affects the ability to lose weight effectively and safely.
Cortisol and stress
The basic assessment includes determining the level of cortisol in the blood. If necessary, an in-depth assessment of the daily cortisol rhythm is performed.
Chronic stress and elevated cortisol can block weight loss even when there is a calorie deficit.
Mineral status
The following tests are performed as indicated:
- Extended micronutrient analysis
- HMA (hair mineral analysis)
This is especially important with long-term supplementation or suspected deficiencies.
Body composition analysis
The following are performed:
- body weight measurement
- volume assessment
- body composition analysis
- determination of the ratio of fat and muscle mass
- assessment of visceral fat levels
This allows you to monitor not only weight loss, but also muscle mass preservation.
Additional tests
The following may be recommended if indicated:
- ultrasound examination
- extended hormone panels
- additional biochemical markers
The scope of diagnostics is determined individually.
The patient can undergo an examination at the clinic or provide results from another laboratory.
Diagnostics is not just about weight
A comprehensive examination allows you to determine not only the causes of weight gain or difficulty losing weight.
A regular metabolic check-up (once a year) helps:
- detect hormonal disorders in a timely manner
- prevent the development of insulin resistance
- control the risks of cardiovascular disease
- assess the condition of the liver and lipid profile
- identify deficiencies that affect energy and well-being
Systemic diagnostics is an investment not only in weight loss, but also in long-term health.
Start with an accurate assessment of your metabolic status — make an appointment with a doctor.