Weight Loss & Gut Health
How we can help
Weight loss and gut health, in one conversation
Weight that won't come off however carefully you eat, bloating by the afternoon, food that seems to disagree with you, tired all the time. These are often connected, so I look at them together.
Book a Weight Loss Consultation
25 minutes, by video call or in the clinic in Milton Keynes.
Weight and metabolism
- Weight loss with a clinician who looks at hormones, blood sugar, sleep and stress, as well as what you eat
- Insulin resistance and blood sugar
- Keeping your muscle and your skin while you lose weight
- Weight-loss medicines such as Mounjaro or Wegovy where they suit you, planned alongside HRT or testosterone
Gut and digestion
- Bloating, wind and a bowel that has changed its habits
- Working out what your gut reacts to, from your history and a structured food trial
- Tiredness, iron, B12 and vitamin D
Hormones and weight, together
For women: women on HRT lost more weight on semaglutide than women who weren't, in a study of real patients, and it matches what women report around the world. My view is that your hormones should be kept balanced while you lose weight, for better health, a better quality of life, and less risk of the problems that come with fast weight loss.
For men: extra weight lowers testosterone, and low testosterone makes weight easier to gain and muscle harder to keep. Weight loss raises your own testosterone, and testosterone helps you keep muscle, so we plan both together.
How it works
Talk
A consultation by video call or in clinic, covering weight, digestion, hormones and energy together.
Start
Your plan for food, movement and sleep, supplements where they help, and treatment where it's right, from your first appointment.
Test
Blood tests such as HbA1c, iron, thyroid and vitamin D to rule out other causes and fine-tune your plan.
Review
We check how you're getting on and adjust your plan as you change.
Ways to start
Weight changing with perimenopause? Start with the Menopause (HRT) Consultation. Low sex drive, energy or strength too? See Testosterone (TRT).
25 minutes · online or in clinic
Weight Loss Consultation
Your weight, blood sugar, digestion, hormones and energy in one conversation. You leave with a plan and know what to do first.
Blood and gut tests
Tests for weight, energy and your gut
Blood tests for blood sugar, iron, thyroid and vitamins, and a home stool test for your gut, each with a short written interpretation of your results.
50 minutes · online or in clinic
Women's Health Consultation
For weight alongside periods, PMOS, gut, skin or hair: everything that's changed, in one longer conversation.
Care Plan · 90 days
Restored Programme
A plan from your first appointment, a full hormones and health blood test to fine-tune it, 90 days of reviews where the plan is adjusted as your body responds, and repeat bloods at the end. Your next appointment is in the diary before day 90 ends.
Debora Tentis, Women's Health Pharmacist Prescriber, Debora Tentis Clinic. Registration and qualifications are on the About page.
Medicines and tests are extra; if you need them, the costs are explained before anything goes ahead.
Individual results vary and no outcome is guaranteed.