Metabolic Optimization · Dr. Romanos Practice
Physician-led weight management — metabolic diagnostics, individualised strategy, medication support where indicated.
Does this sound familiar?
Metabolism, hormones, insulin resistance, stress, sleep and lifestyle all interact. If these factors aren't addressed systematically, results don't last.
You eat well, you exercise — and still nothing changes on the scale.
Weight loss works short-term, but the kilos always come back.
Abdominal fat, elevated blood lipids, pre-diabetes — metabolic risk despite "normal" weight.
Sugar cravings, unstable blood sugar, energy crashes after meals — signs of metabolic dysregulation.
Comparison
| Standard Diet Programme | Our Practice |
|---|---|
| Diet plans | Medical analysis |
| Calorie focus | Metabolic focus |
| Short-term results | Sustainable strategy |
| Generic programmes | Individualised care |
| No medical oversight | Physician-led and monitored |
Process
45–60 minutes. Metabolic profile, lifestyle, history, previous attempts. We first understand why previous approaches haven't worked.
Where indicated: glucose metabolism (HbA1c, fasting insulin), lipid profile (ApoB, triglycerides), hormonal factors. Only what is clinically relevant.
Nutrition strategy, metabolic optimisation, medication support where indicated — and structured follow-up with measurable parameters.
GLP-1 Therapy
GLP-1 receptor agonists (e.g. semaglutide) can support where medically indicated: appetite regulation, improved insulin sensitivity, sustainable weight reduction.
But: not every patient needs them. Not every patient responds the same way. Prescription is based on medical indication, risk assessment and follow-up — not on request.
Reduction of cravings and excessive appetite through physiological signalling.
Improved glucose utilisation and reduction of metabolic risk factors.
Clinically relevant weight loss with medical supervision and structured follow-up.
Expected Outcomes
Clinically relevant weight reduction — not through crash diets, but through metabolic correction.
Stable blood sugar, fewer energy dips, better daily performance.
Reduction of cravings and emotional eating through targeted metabolic intervention.
Improvement of metabolic markers — blood lipids, insulin sensitivity, cardiovascular risk profile.
Costs
Medical consultation and basic lab diagnostics are billed through mandatory health insurance.
GLP-1 medications are currently private services. Costs and availability are discussed transparently in advance.
No hidden fees, no flat-rate packages. You decide after consultation which steps make sense.
FAQ
No. We do not offer diet plans. Our approach is based on medical diagnostics of the metabolic causes and an individualised, physician-led strategy.
GLP-1 receptor agonists are prescribed where medically indicated — e.g. for obesity with metabolic risk or insulin resistance. Prescription is based on medical assessment, not on request.
The medical consultation and basic lab diagnostics are covered by mandatory health insurance (KVG). GLP-1 medications and extended analyses are currently private services — we discuss everything transparently in advance.
The initial consultation lasts 45–60 minutes and includes history, metabolic assessment and a decision on appropriate diagnostics.
No. You can book an appointment directly online. You are welcome to bring any existing results.
If previous attempts have failed, it's not your discipline that needs to change — it's the strategy. A structured medical assessment provides clarity.