The four things we do

Work out what kind of obesity this is Weight is a symptom with many causes. Before anything else we look for the treatable and the missed: thyroid disease, PCOS, Cushing's, medicines that cause weight gain, untreated sleep apnoea, binge eating, and the depression and disturbed sleep that so often sit underneath. Some people arrive needing a different diagnosis rather than a weight plan.
Measure what the weight has already done Blood sugar and HbA1c, liver, lipids, kidney, thyroid, vitamin D and B12, blood pressure, and a look at the liver on ultrasound where indicated. This is what separates stage 1 from stage 2, and it is what decides how hard we push.
Build a plan you can actually run Diet built around what your household already cooks, not a printed sheet. A protein target with a way of hitting it. Resistance work that does not require a gym membership you will not use. Sleep and screening for apnoea. Where it is clinically indicated, treatment may include prescription medicine, decided by the doctor after examining you. Where the picture points that way, a surgical opinion.
Review it, properly, on a schedule Weight, waist, body composition, side effects, what has slipped and why. Repeat bloods at the intervals that matter. Adjust. The plan that works in month one is usually not the plan you need in month eight, and a treatment that has stopped working should be changed rather than endured.

What we measure at every visit

Measure	Why it is there
Weight	The obvious one, and the least informative on its own. Useful as a trend across months, not week to week.
Waist circumference	The number that tracks visceral fat, which is the fat that causes the damage. In Indians this often improves faster than weight does.
Body composition	Fat mass against lean mass. The whole objective is to move one down while holding the other. A scale cannot tell you which one you are losing.
Blood pressure	Frequently improves early, and often means an existing tablet needs reducing rather than continuing.
Capillary glucose	Done for every patient and every attender who walks in, at no charge. It is how we find the diabetes nobody knew about.
What you are actually eating and doing	Asked without judgement, because the answer only helps if it is true.

On being weighed

A lot of people avoid doctors because of how they have been spoken to about their weight. If being weighed is difficult, say so and we will do it facing away from the display, or record it without discussing the number. It is a measurement, not a verdict, and it is not a moral document.

Where medicine fits

Where it is clinically indicated, treatment may include prescription medicine. Any prescription is decided by the doctor after an individual assessment, and is not available without a consultation. What is appropriate depends on what your assessment shows, what else you take, whether you are planning a pregnancy, what your liver and kidneys are doing, and what you can sustain. Those are conversations for the room, not for a webpage.

What we can say here is the principle we work to: a treatment you can continue beats a better treatment you will have to stop. Weight regain after stopping is well documented and substantial. Starting something for four months that you cannot afford for twenty-four buys you the cost and the regain and very little that lasts. We would rather have that conversation at the first visit.

Which medicines are licensed in India, which brands carry each molecule, how each one is taken and what a month of it costs are set out on a separate page: weight-loss medicines. That page explains what is on the shelf. It does not tell you which one is for you, because that is the assessment.

What is included in the consultation fee

A capillary blood glucose check for you and for whoever came with you. A diet consultation. As long as the appointment needs, with the explanation repeated as many times as you want it. We do not charge more for a longer visit and we do not bill separately for the dietitian.

What we do not do

We do not sell medicine on the website, and there is no online ordering.
We do not run a weight loss package, a membership, or a plan with a monthly fee.
We do not publish patient photographs, before-and-after pictures or success stories. They show you the people it worked best for and none of the people it did not, which is the opposite of what you need in order to decide.
We do not offer video consultations for this. Obesity assessment needs measurements, an examination and bloods.
We take no margin and no payment from any pharmaceutical company in connection with obesity treatment.

Who you will see

Dr. Khizer Hussain Junaidy
MD (Pharmacology), Fellowship in Diabetes
SCOPE Certified in obesity management, awarded by the Strategic Centre for Obesity Professional Education of the World Obesity Federation
Medical Director, Caspian Healthcare
Telangana State Medical Council registration number 04937

Where the assessment finds something outside this remit, you will be referred: cardiology within Caspian, and to a bariatric surgeon, a sleep physician, a psychiatrist or a gynaecologist outside it where that is what the picture needs.

What treatment here actually involves