Weight Management
- Over 60% are overweight in the UK
- Obesity is associated with heart disease, diabetes, osteoarthritis and cancer
- 3 treatment options available
- Check your appropriateness and suitability
- Use ‘International Gold Standard’ Practitioners
ABOUT OBESITY
The Bucket analogy
Obese people can be looked upon as fat, lazy and unfit. However, research has proven genetics also play a key role in our weight.
Now, let’s say your genetics determines the size of your bucket i.e. someone who has more fortunate genetics has a larger bucket. This can explain why two people who live the exact same lifestyle have different weights. If you imagine filling the buckets with the same amount of water (lifestyle) unfortunately the person with the smaller bucket will overflow faster and gain weight.
The message is that it may be easier for you to gain weight and you will need to work harder to lose it.
Why Choose Us For Your Weight Journey
Dedicated prescriber throughout your whole journey
Use only SCOPE-credited practitioners (World Obesity Federation)
2 years experienced
Support throughout
Discounted lifestyle support
Why choose Prosper
Mission
Provide a service which achieves and maintain at least 10% weight loss over 12 months for our clients.
We want to build a better healthcare system
Medications, known as GLP1, treated for diabetes have shown promising results in weight loss. However, it is not known when NHS are likely to make the medication available to those with BMI less than 40.
Read more about GLP1 in our treatment section.
Vision
We aspire to reverse the growing obesity rate and as a result reduce weight associated problems and improve our clients quality of life.
Annual subscription
- Appropriate for patients committed
- Recommendation of pharmacy to save you money
- Includes monthly consult / progress checker
- Face to face, video or telephone consultations included
- Use of our resources for weight loss
Start of your journey
- Ideal for those starting weight management therapy or new to us
- 30 minute initial consultation
- Includes prescription
- Face to face, video or telephone consultations included
- Weight goals determined and resources supplied
Prosper Price Promise
Can you find a price less than consult and medication (our recommendation)?
- Notify us if you find it cheaper
- Only requirement it has to be a similar service
- We will be happy to price match and reduce a little more
Our treatment
Medication
What a pharmacist knows best
How it works: Orlistat, a lipase inhibitor, improve lipid metabolism andreduces the absorption of dietary fat. The
How to use: The recommended dose is one capsule taken with water immediately before or up to one hour after each main meal. If a meal is missed or contains no fat, the dose of orlistat should be omitted. The dose is one capsule three times a day.
When is this unsuitable: Chronic malabsorption syndrome, cholestasis, and breast-feeding. Orlistat interacts with warfarin, acarbose and ciclosporin. In epileptic patients, medication may be less absorbed with orlistat and therefore it is not recommended.
Click on the link below for more information:
https://patient.info/medicine/orlistat-capsules-alli-beacita-orlos-xenical
How it works: Our bodies naturally produces an appetite hormone known as glucagon-like peptide-1 (GLP-1) that regulates our hunger.
Saxenda® works like GLP-1 by regulating your appetite. The difference is it lasts longer resulting to eating fewer calories and losing weight.
How to use: Daily subcutaneous (fatty tissue) injection with an increase in dose every week.
When is this unsuitable: Over 75, obesity secondary to conditions affecting your endocrine system or eating disorder, diabetic gastroparesis, irritable bowel disease or hypersensitivity to any of the excipients.
Missed dose: If you forget to inject yourself you have a 12 hour window to inject or otherwise inject at the same time the following day. If you forget to inject over a period of 72 hours, then you should start from 0.6mg again and increase the dose as you first did.
Click below to learn more about Saxenda: https://www.saxenda.co.uk/
How it works: Binds to and Activates GLP-1 receptor to increase insulin secretion, suppress glucagon secretion, and slows gastric emptying.
Evidence: 68 weeks trial was carried out with 4 categories (STEPS). Wegovy proved benefits not in only weight reduction (at least 10%) but also an improvement in physical functioning.
How to use: Once a weekly injection under the skin. Sites which are often use are abdomen, the front of your thigh or upper arm.
Dose titration is every 4 weeks.
When is this unsuitable: There is no specific conditions that you cannot use this product. However, similarly to Saxenda you need to be cautious if you have certain conditions:
Advantage: A large window of 5 days if you have missed using your medication of the day due compared 12 hours for Saxenda.
Status: Currently Wegovy is now available in the UK.
How it works: Mounjaro primarily works by
regulating your appetite, giving you a sense of satiety (‘fullness’), making you feel less hungry and
experience less food cravings. This will help you eat less food and reduce your body weight.
How to use: Weekly subcutaneous (fatty tissue) injection with an increase in dose every four weeks.
When is this unsuitable: Over 75, obesity secondary to conditions affecting your endocrine system or eating disorder, diabetic gastroparesis, irritable bowel disease or hypersensitivity to any of the excipients.
Missed dose:If it has been more than 4 days since you should have used Mounjaro, skip the missed dose.
Then inject your next dose as usual on your scheduled day.
Click below to learn more about Mounjaro: https://www.medicines.org.uk/emc/files/pil.14206.pdf
How it Works
1. Pick your treatment
Check suitability by filling out our questionnaire
2. Speak to Our Prescriber
Receive your treatment plan by speaking to our experienced prescriber.
3. Receive your medication
Pick a pharmacy - your own or our suggestion - we do not mind
You Decide Your Process
Do what makes you feel comfortable
Book Using Calendar
Book a consultation without a questionnaire (step 1) then this is for you
Common FAQ
Below are some resources we find helpful in understanding obesity:
1) Reading material: https://www.saxenda.co.uk/content/dam/nnsites/saxenda-co-uk/en/public/Novo_Nordisk_General_Public_Obesity_Awareness_Leaflet.pdf.
2) Youtube video link: https://www.youtube.com/watch?v=Zi-zlhKK0ak
You may have read GLP-1s has caused thyroid cancer. In the clinical trials a rodent was found to have thyroid cancer and as a result it is required to be published. However, there has not been any human cases during the trials using Saxenda or the 2 million users after the trial.
Using injections for the first time can be daunting and you are not alone if you are feeling like this. We will provide training for you to self-administer until you feel confident.
GLP-1 injections are to be administered subcutaneously. This means under your skin in your stomach area (abdomen), upper leg (thigh), or upper arm. Do not inject into a vein or muscle.
After you have stopped using the medication you can gain the weight back again. For this reason, we recommend for you to commit to a 12 month programme. A recent research study published found patients on a 12 month weight loss programme still had a positive effect after 5 years from starting the programme.
If you have any concerns using the injection due to your medical history, previously failed interventions or any other reason – we can help! We speak to the manufacturers regularly who have the data for everything regarding the safety of the medication.