Obesity treatment

Obesity is a chronic metabolic disease. It is not the result of a lack of willpower, but of complex disorders in the regulation of appetite, satiety, metabolism, hormones, and neurotransmitters. Obesity treatment requires the same approach as other chronic diseases: diagnostics, a treatment plan, monitoring of results, and therapy modification.

At Garden Clinic, obesity treatment is carried out by a team — with the involvement of doctors, clinical dietitians, physiotherapists, personal trainers, and, when needed, endocrinologists and diabetologists.

We begin treatment with a detailed assessment of the causes and consequences of excess body weight.

In the first stage, we analyze:

the type of obesity: abdominal, visceral, or subcutaneous
the presence of metabolic syndrome
insulin sensitivity and fasting insulin levels
lipid profile: total cholesterol, HDL, LDL, and triglycerides
liver and kidney parameters
thyroid hormone, cortisol, and leptin levels
family history, previous weight-loss history, lifestyle, sleep, and physical activity

Tests are performed on site, so the patient does not need to organize them independently. The results are discussed with the attending physician, dietitian, and trainer.

Depending on the results and the degree of obesity, including BMI, waist circumference, and the presence of complications, we may recommend:

non-pharmacological treatment — nutrition education, a meal plan, individual dietary recommendations, and monitoring of physical activity and body weight
behavioral therapy — working with a psychologist on the mechanisms of emotional eating, compulsive eating, and body image disorders
pharmacological treatment — for patients with grade II and III obesity, type 2 diabetes, or metabolic syndrome, in accordance with current recommendations, including GLP-1 receptor agonists, SGLT2 inhibitors, and orlistat, depending on indications and tolerance
physiotherapy support — selecting physical activity with consideration of functional limitations, joint pain, and cardiovascular or respiratory limitations
gastric balloon treatment

Every treatment plan is based on medical data. Effectiveness is measured not only by weight loss, but also by improved metabolic parameters, physical capacity, and quality of life.

From a medical point of view, obesity treatment is recommended when:

BMI is 30 or higher
BMI is 27–29.9 with complications such as hypertension, diabetes, fatty liver disease, or hypercholesterolemia
abdominal obesity is present, defined as waist circumference over 94 cm in men or over 80 cm in women
there are difficulties in everyday functioning, such as joint pain, shortness of breath during exertion, or limited mobility
psychological problems related to body weight appear, such as social anxiety, low self-esteem, or avoidance of activity

Even a 5–10% reduction in body weight brings measurable clinical benefits: lower blood pressure, improved insulin sensitivity, and a reduced risk of heart attack, stroke, and certain cancers.

After weight reduction, the stabilization stage becomes crucial. This is the point at which obesity most often returns. That is why at Garden Clinic, we provide long-term patient care, also after the intensive phase of therapy has ended.

This includes: