Details.
A thorough medical consultation for women struggling with weight, including a full history of weight, hormonal and menstrual health, family history, sleep, stress and treatment goals. Investigations usually include fasting glucose, insulin, HbA1c, lipid profile, thyroid function and relevant hormone tests, alongside a pelvic ultrasound. Findings are explained clearly and an individualised plan is agreed, with follow-up to review progress and adjust treatment. The plan may include nutrition, movement, lifestyle measures and, where clinically appropriate after assessment, medication. Contraception, fertility, pregnancy plans and breastfeeding are considered as part of the assessment.