Metabolic Optimization · Praxis Dr. Romanos
Weight.
Medically assessed.
Medically-led weight management — with structured diagnostics, clear strategy, and medication support when indicated.
Do you recognize yourself?
Weight gain is rarely just a matter of calories.
Metabolism, hormones, insulin resistance, stress, and sleep work together. If these factors are not systematically addressed, results don't last.
Discipline is there — results are not
You eat consciously, exercise regularly — and still nothing changes on the scale.
Yo-yo effect
Short-term success — but the weight always comes back. Your metabolism works against you.
Visceral fat & risk
Belly fat, elevated lipids, prediabetes — metabolic risk despite a "normal" weight.
Cravings & energy dips
Unstable blood sugar, sugar cravings, energy crashes after eating — signs of metabolic disorder.
Our Approach
Four Steps. Medically Structured.
Medical Assessment
Metabolism profile, hormones, insulin resistance — we identify what controls your weight.
Clear Prioritization
What is medically urgent, what can be optimized? Not everything at once — the right things first.
Individual Strategy
Nutrition, movement, metabolism optimization — and medication when medically indicated.
Follow-up Monitoring
Measurable parameters, regular monitoring, adjustment based on progress — not on guesswork.
For Whom
When metabolic assessment makes sense.
Weight gain despite discipline
Your nutrition and exercise are right — but your body isn't responding as expected.
Repeated yo-yo cycles
Short-term success — long-term failure. Your metabolism adapts; your strategy must too.
Metabolic risk
Belly fat, elevated lipids, prediabetes — metabolic syndrome requires medical assessment.
Cravings & energy crashes
Unstable blood sugar, constant cravings, energy crashes — signs of metabolic disorder.
GLP-1 therapy evaluation
Interested in GLP-1-based therapy (weight-loss injection)? We assess indication — medically, not on demand.
After bariatric surgery
Weight regain after gastric bypass or sleeve? Metabolic follow-up and lab monitoring.
Foundation
Every therapy starts with diagnostics.
Before any medication-based weight therapy, we clarify the causes — insulin resistance, thyroid, lipids, nutrients. This initial work-up is done through our metabolic analysis and feeds directly into your treatment plan.
Metabolic AnalysisComparison
Diet program vs. medical assessment.
Process
Structured — not trial and error.
Medical History
60–90 minutes. Metabolism profile, lifestyle, history, previous attempts. We understand first why prior approaches failed.
Targeted Diagnostics
Glucose metabolism, lipid profile, hormonal factors, inflammation markers. Only what's clinically relevant — no routine panels.
Strategy & Follow-up
Individual strategy with measurable parameters. Medication support when indicated. Regular monitoring and adjustment.
Medical Approach
No lifestyle coaching.
No miracles.
Weight management is not a cosmetic service. It's a medical task — often complex, always individual. We don't promise kilos lost, but clarity about connections.
GLP-1 medications are a tool — not a substitute for diagnostics. We prescribe when medically indicated, not on request. The decision is based on findings, risk assessment, and clinical judgment.
If no metabolic cause exists, we say so honestly. And counsel further — whether a different approach makes sense or referral is recommended.
Indication-based
Medication only when medically indicated — not on request.
Measurable
Lab parameters, not guesswork. Follow-up based on numbers.
Personal
Every assessment and follow-up by the physician personally.
Honest
If we're not the right contact, we say so.
Expectations
What this is not.
This is not a diet program and not lifestyle coaching. We don't offer meal plans, fitness coaching, or blanket supplements.
We don't prescribe GLP-1 medications on request. The decision is based on medical diagnostics, risk assessment, and clinical judgment — not demand.
What we offer: structured medical assessment that shows why prior approaches failed — and what makes sense instead.
From Practice
Case Studies.
Mr. K., 42 years
Weight gain despite exercise
Problem: 12 kg gain in 2 years despite regular training. GP said: "Eat less."
Approach: Fasting insulin 28 mU/L, HOMA-IR 6.2, subclinical hypothyroidism found.
Result: Metformin, thyroid substitution, dietary adjustment — 9 kg loss in 5 months.
Ms. T., 38 years
Cravings & prediabetes
Problem: Severe cravings, energy crashes after eating, BMI 31.
Approach: HbA1c 5.9% (prediabetes), fasting insulin 22 mU/L. Dietary change, GLP-1 therapy after 3 months.
Result: HbA1c 5.3%, cravings greatly reduced, stable values.
Mr. B., 55 years
Metabolic syndrome
Problem: BMI 29, visceral adiposity, triglycerides 3.8, ApoB 1.45, BP 145/92 — never viewed as one.
Approach: Risk stratification, statin, dietary change, structured monitoring.
Result: Triglycerides 1.4, BP 128/82, ApoB 0.9 after 6 months.
Ms. R., 45 years
Yo-yo from crash diets
Problem: Years of yo-yo, at least 5 diets — weight never stable.
Approach: Leptin resistance, low fT3 (conversion deficit), elevated cortisol. No further caloric deficit.
Result: Metabolism stabilization, micronutrient rebalance — first stable weight in 8 months.
Pricing
What it costs — transparent.
One clear monthly price, all-inclusive. No prescriptions by post — medication is dispensed only at an in-person check in the practice.
First consultation
one-off · credited to the programme
Weight programme
per month · depending on dose (approx. 400–550)
All-inclusive: medical supervision, medication and in-practice dispensing. The metabolic analysis counts as your initial work-up — if there's an indication, we start directly, without paying twice.
Insurance
What basic insurance covers — and what it does not.
Assessment
basic insurance
Where obesity or a weight-related condition is present, the assessment — history, examination and the medically indicated laboratory values — is a basic insurance service. Your deductible and co-payment apply.
Dietary counselling
on medical prescription
From BMI 30 — or below that with a comorbidity — dietary counselling is covered, as a rule twelve sessions per year. It is delivered by legally recognised dietitians; we issue the prescription.
Medication
BMI ≥ 35 · or ≥ 28 with comorbidity
Reimbursement additionally requires a documented dietary programme and prior approval from your insurer. Prescription at the insurer's expense is reserved for endocrinology practices and obesity centres — if you meet the criteria we establish that and refer you. Otherwise the supervised programme is a self-pay service.
Frequently Asked Questions
Good to know.
Is this a diet program?
No. We don't offer diet plans or nutrition programs. Our approach is based on medical diagnostics of metabolic causes and an individual, physician-led strategy.
Do you offer weight-loss injections (GLP-1)?
We provide GLP-1-based therapy when there is a clear medical indication — not on request, and not by post. Medication is dispensed in the practice as part of the monthly medical supervision. The decision is based on diagnostics, risk assessment and clinical judgment.
Why do I need to come every month?
GLP-1 medication is dosed and monitored by a physician — dose adjustment, side-effect control and progress are part of the therapy and your safety. We therefore dispense it only within the monthly in-practice supervision and do not send prescriptions by post. Once your dose is stable, intervals can become longer.
How long is the initial assessment?
60–90 minutes. Comprehensive history, clinical assessment, and diagnostic planning. Lab results arrive in 5–10 business days, then results review with concrete plan.
Are costs covered by insurance?
The supervised weight programme with GLP-1-based therapy costs from CHF 400/month (medical supervision and in-practice dispensing included, depending on dose) and is a private service. Where obesity or a weight-related condition is present, the assessment is a basic insurance service; your deductible and co-payment apply. Without a medical indication it is self-pay. Reimbursement of the medication requires the Limitatio (BMI from 35, or from 28 with a comorbidity) and is reserved for endocrinology practices and obesity centres — if you meet the criteria we refer you. All costs are discussed transparently in advance.
Do I need a referral?
No. You can book directly online. You're welcome to bring existing test results.
What if no metabolic cause is found?
That's important information. We counsel you honestly — whether a different approach makes sense or referral is recommended. Diagnostic clarity always has value.
Clarity instead of crash diet.
If prior attempts have failed, it's not your discipline that needs to change — it's your strategy. Structured medical assessment in Zurich creates clarity.
