Medical weight loss for women and men · online, anywhere in the UK
Medical weight management online: weight-loss medicines where they're right for you, alongside food, strength, sleep, hormones and gut health. A 45-minute consultation and a plan we decide together.
Book your Weight Management Consultation
Online, by video or voice call, anywhere in the UK.
You've done the diets. You know what to eat. The weight still won't shift, and the hunger never switches off.
You're tired of starting again on Monday. Tired of being told to eat less and move more, as if you hadn't thought of that.
Weight is rarely about willpower. Hormones, blood sugar, sleep, stress, your gut and the medicines you take all push on it. We find out which ones are pushing on yours, and treat those.
Nod at a few of these and this consultation is for you.
Food is on your mind all day, and you're never quite full.
It's settled round your tummy, even though you eat the same as before.
Diets work for a few weeks, then the weight comes back.
Bloating, reflux or constipation most days, and you can't tell what sets it off.
A slump after meals, or by mid-afternoon you're running on biscuits and coffee.
Perimenopause, menopause or low testosterone, and your body has changed with it.
Where it's safe and right for you, treatment can start after the first appointment. You don't wait weeks for bloods before anything happens.
The Weight Management Consultation, 45 minutes online. Your weight history, eating, sleep, stress, gut, hormones, medicines, and what you've already tried.
If a medicine is right for you, we decide together and it starts at a low dose, alongside your eating and strength plan.
The blood tests that help find what's driving your weight: thyroid, blood sugar, iron, vitamins, hormones, cholesterol and liver.
Your weight, side effects, energy and results, with the dose and the plan adjusted as you go.
If a weight-loss medicine is right for you, it sits alongside food, movement and a way of living that holds once the medicine stops. Each one is prescribed only if it is suitable for you.
A weekly injection under the skin, using a pen. It works on 2 gut hormones, GIP and GLP-1.
A weekly injection under the skin, using a pen. It works on 1 gut hormone, GLP-1.
A tablet once a day, for people who would rather not inject. It works on GLP-1. Licensed in the UK in August 2026.
You feel full sooner and stay full for longer. Hunger and food noise quieten, your stomach empties more slowly, and your blood sugar is steadier after meals.
Nausea, constipation and reflux are the common ones, mostly early on and after a dose increase. We go up slowly, and your eating plan is built around them: smaller meals, protein first, fluids and fibre, and less fat late in the day.
It depends on your history, your goals and how you get on. If a medicine is right for you, we decide together. If it isn't, the rest of the plan still works on your weight.
Muscle and skin are protected in every weight plan, by default. Losing weight fast without protecting them is how people end up weaker, more tired and looking drawn.
Protein at every meal, eaten first, so you keep muscle while you eat less. Your plan gives you real meals you'll actually cook.
Lifting, resistance bands or bodyweight work, at least 2 days a week. Muscle keeps you strong and keeps your metabolism working for you.
Short sleep and constant stress turn hunger up and make weight harder to lose. We look at both and pick what you can actually change.
It adds calories, disturbs sleep and can make nausea worse on treatment. We agree what works for you.
As oestrogen falls, many women gain weight round the middle and sleep worse. For some, body-identical HRT is part of the plan. See the Menopause Service
Low testosterone and extra weight often travel together in men, and low levels affect energy and strength in women too. For some men and women, body-identical testosterone is part of the plan. See Testosterone Therapy
Bloating, reflux, constipation and IBS-type symptoms often sit alongside weight, and some weight-loss medicines make them worse at first. We find what sets yours off.
Certain foods, stress, poor sleep, some medicines, hormones and the stage of your cycle can all set the gut off. A food and symptom diary shows which ones are yours.
We change one thing, watch what happens, then change the next. That way you know what actually helped.
Iron, B12, vitamin D and inflammation in the blood, and where your symptoms point to coeliac disease, the right test before you cut out gluten.
How weight and gut health connect, in more detail. Weight loss and gut health
If you already have recent results, bring them. If you don't, these are the ones that help find what's driving your weight.
HbA1c and fasting glucose, to check for insulin resistance, prediabetes and diabetes. About this test
Every thyroid marker, including antibodies, with B12, folate, iron stores and vitamin D. About this test
Your iron level and iron stores, for tiredness, heavy periods and hair shedding. About this test
Iron, B12, folate, vitamin D, liver, kidneys and a full cholesterol profile. About this test
Cycle hormones, thyroid, iron, liver, kidneys and cholesterol, for women. About this test
Testosterone, thyroid, iron and general health, for men. About this test
Hormones, thyroid, blood sugar, cholesterol, liver, kidneys, iron and vitamins in one sample. About this test
Only if your reactions sound like a true allergy: hives, swelling or symptoms within minutes of a food. About this test
Start here · 45 minutes · online
For women and men, wherever you're starting from.
Existing patients · online
Already started treatment at the clinic.
Medicines and tests are extra; if you need them, the costs are explained before anything goes ahead.
If we agree on a treatment, your medicine can be posted to your home through Healistic, our home delivery partner. Supplements we recommend can come the same way.
Debora Tentis, Women's Health Pharmacist Prescriber. Seeing women and men online, anywhere in the UK.
I spent over a decade in community pharmacy listening to people describe their weight, their energy, their gut and their hormones, and watching each of those get sent somewhere different. Debora Tentis Clinic exists to join it up. Registration and qualifications
Yes. The Weight Management Service is for women and men. Men who also have symptoms of low testosterone can ask about it in the same consultation, and the Testosterone Therapy page explains that side.
Either. You choose video or voice call, from anywhere in the UK.
No. You book online yourself.
For the weight-loss medicines, the UK licences use a BMI of 30 or more, or 27 or more with a weight-related condition such as high blood pressure or type 2 diabetes, and UK guidance lowers these by 2.5 for people of South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean family background. Your height and weight are checked at the consultation, and if a medicine isn't the right route, the rest of the plan still is.
Yes. Bring the name, dose, your start date, your starting weight and any side effects. We check it all at the consultation and decide together whether to carry on, change the dose or change the medicine.
If your GP needs to know about your treatment, I write to them, so your records match.
They copy gut hormones your body already makes after a meal. You feel full sooner and for longer, hunger and food noise quieten, your stomach empties more slowly, and your blood sugar is steadier. Mounjaro works on 2 of those hormones; Wegovy and Foundayo work on 1.
Nobody can promise a number, and results vary a lot from person to person. What's realistic for you, with or without a medicine, is something we work out together at the consultation.
Nausea, constipation, reflux, diarrhoea and feeling full too quickly, mostly in the first weeks and after each dose increase. We go up slowly, adjust the dose, and give you an eating plan built around them, so most people settle.
Appetite usually comes back when a weight-loss medicine stops, and weight often follows. That's why we plan the stop from the start: strength, protein, habits, and a slow step down if that suits you.
Some of any weight lost is muscle, which is why protecting muscle is in every plan by default: protein first at every meal, and strength training at least 2 days a week.
Neither is a weight-loss medicine. For some women in perimenopause or menopause, body-identical HRT helps sleep, energy and mood, which makes the rest of the plan easier to keep, and some men and women with low testosterone feel the same. If that fits you, we decide it together.
Not always. Where it's safe, treatment can start after the consultation and the bloods follow, so you're not waiting weeks to begin. If you already have recent results, bring them.
Yes. We look for the triggers: certain foods, stress, sleep, medicines, hormones and your cycle. Then we change one thing at a time, with the blood tests that rule out the things that shouldn't be missed.
The IgG food intolerance tests sold online aren't a reliable way to find triggers, so we don't use them. A food and symptom diary, a guided change in what you eat, and the right blood tests tell you more. If your reactions sound like a true allergy, an allergy blood test can help.
If we agree on a treatment, it's posted to your home through Healistic, our home delivery partner.
Once you've started at the clinic, you request a repeat online. Your reviews stay on their schedule, because the dose and the plan follow how you're doing.
These medicines aren't used in pregnancy or breastfeeding, or when you're trying to conceive. A history of pancreatitis, a personal or family history of medullary thyroid cancer or MEN2, type 1 diabetes, severe gut problems, an operation coming up, or a past or current eating disorder needs extra care and changes the plan, which we go through at the consultation.
Yes. Mounjaro can make the pill less reliable, especially in the 4 weeks after starting and after each dose increase, so you'd use condoms as well in those weeks, or use a coil or implant, which aren't affected. Vomiting or diarrhoea can make any pill less reliable too. If you're planning a pregnancy, tell us early: depending on the medicine, it's stopped 1 to 2 months before you try.
Severe tummy pain that doesn't go away, often going through to your back, with or without vomiting, can be pancreatitis: stop the medicine and call 999 or go to A&E. Pain under your right ribs with a fever, or yellow skin or eyes, can be your gallbladder: get urgent care the same day. Vomiting with a swollen tummy and no poo or wind needs A&E. Vomiting you can't keep fluids down with, very little urine or dizziness needs 111 the same day. Vomiting that keeps coming back: tell the clinic the same day so the dose can change. Blood in your poo, weight loss beyond what you're aiming for, difficulty swallowing or a lump in your tummy needs an urgent referral through your GP, within 2 weeks: ask for it by name. If you're under the clinic's care, the clinic writes to your GP the same day.
Bring your questions, your weight history and any results you already have. We'll go through all of it.
Book your Weight Management ConsultationRequest a repeat
Online, by video or voice call, anywhere in the UK.
Debora Tentis, Women's Health Pharmacist Prescriber, Debora Tentis Clinic. Registration and qualifications are on the About page.
Individual results vary and no outcome is guaranteed.
