Metabolic Medicine.
Physician-led medical weight management, including GLP-1 therapy where appropriate.
A medical pathway for patients seeking non-surgical weight management, pre-surgical preparation or treatment after weight regain.
Brenan Place, Fitzroy.
For adults seeking medically supervised weight loss without surgery, or in the time before it.
GLP-1 medications such as semaglutide and tirzepatide are established therapies. Used carefully, with medical and dietetic supervision, they can produce meaningful weight reduction. Poorly monitored use creates avoidable risk.
This pathway includes patients with:
- BMI above 27 with a weight-related condition
- BMI above 30 without surgical intent
- Difficulty maintaining lost weight
- Interest in medical management before surgery
- Previous bariatric procedure with weight regain
A programme designed around you, in six considered parts.
Physician consultation
Medical assessment, medication review and assessment of suitability for GLP-1 therapy.
Baseline investigations
Bloods, body composition scan and screening for comorbidities.
Dietitian-led plan
Protein-led nutrition, side-effect management and eating patterns that can be maintained.
Monthly check-ins
Dose adjustments, body composition review and side-effect support.
Muscle preservation
Resistance training and protein guidance to protect lean mass.
Surgical option held open
Direct access to a bariatric surgeon if surgery becomes appropriate.
The same physician and dietitian, throughout. Treatment that responds to your numbers, not a script.
Initial enquiry
The enquiry is reviewed and directed to the appropriate physician.
Physician consultation
Full medical history, weight history, medication review and discussion of realistic expectations.
Bloods and body composition
Baseline blood tests, DEXA or InBody scan, and further investigations where required.
Treatment commencement
If GLP-1 therapy is appropriate, treatment begins with dose escalation, side-effect plan and dietitian support.
Monthly review
Same physician and dietitian throughout. Body composition is tracked. Treatment is adjusted to measured response.
Physician-led. With a surgeon on hand should you ever need one.
- Physician
- Dietitian
- Nurse
- Surgeon on request
GLP-1 therapy works better when monitored by a physician and dietitian over time.
Body composition, blood work and side-effect support. Reviewed monthly by the same physician and dietitian.
For patients who need a programme, not an episode.
Many metabolic patients require care that extends well beyond a single consultation. Meridian Membership is the practice's physician-led programme for that arc, quarterly physician review, GLP-1 titration, dietetic and psychology support, and the patient app holding the file in one place.
Membership is opened at the recommendation of a Meridian physician at the first consultation, where appropriate.