Not a willpower problem, not a cosmetic complaint, and not something you should have to solve alone before anyone will take it seriously. This section explains how obesity is assessed and treated at Caspian Healthcare, what the first year is realistically like, and what it costs.
Start here
They have done the diets. They have joined the gym in January. They have lost twelve kilos twice and found them again both times. Somewhere along the way they have been told, usually kindly, that they simply need to want it more.
That is not what the biology says. Weight is defended. When you lose it, appetite hormones rise, resting energy expenditure falls, and the body works, competently and relentlessly, to put it back. That is why the regain is so predictable, and it is why treating obesity has to look like treating blood pressure: a long term plan, reviewed regularly, adjusted when it stops working.
What has changed in the last three years is that there is now genuinely effective medical treatment to put alongside the diet and the exercise, rather than instead of them. That has also brought a great deal of noise, some of it dangerous. Most of this section exists to cut through it.
The full section
Written for patients, not for search engines. If you only read three, read the first, the one on stopping, and the one on cost.
Work out where you actually stand, using Indian cut-offs rather than the ones printed on a Western BMI chart.
Read →What we do at each stage, what we measure, and what we will not do.
Read →Which molecules are licensed in India, which brands carry them, how each one is taken, and what changed when the generics arrived in March.
Read →Ninety minutes, a set of tests, and a plan. Here is exactly what happens.
Read →Month by month. What changes, when the hard part comes, what counts as working.
Read →The single hardest part of treatment on an Indian vegetarian diet, made into a tool.
Read →Losing weight is easy to get wrong. Losing fat and keeping muscle is the actual job.
Read →The honest version, with what to eat on the bad days and when to call us.
Read →Navratri, Ramadan, Diwali, a wedding month, a train journey. Planned, not improvised.
Read →Refrigerated medicine, a Hyderabad summer and a four hour power cut.
Read →How to tell a legitimate product from the ones sold on Instagram and IndiaMART.
Read →The question everyone asks last and should ask first.
Read →Our fees, in full. What insurance covers, and what it does not.
Read →Four ways in
This section is written for all four, not just for people on medication. Pick the one that fits and it will put the relevant pages in front of you first.
The honest evidence on what lifestyle change achieves, what it does not, and how to get the most out of it.
Start here →What assessment involves, what to ask, how to decide, and what it would cost you to sustain.
Start here →Month by month, side effects, protein, festivals, storage, and how to come off it.
Start here →Preparing for it, the first year, supplements for life, and what to do if the weight comes back.
Start here →Before you go further
Obesity is assessed and treated at Caspian Healthcare like any other long term condition. A consultation is ₹400 and includes a blood glucose check and a diet consultation.
10-3-761/8, Ahmed Plaza, Vijay Nagar Colony, Hyderabad 500057
Consulting hours
9:00 am to 1:00 pm and 3:00 pm to 9:00 pm
By prior appointment. The hospital, pharmacy, nursing cover and laboratory run 24x7.