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Weight Concerns

Our specialist doctors take a non-judgmental approach to Weight Gain and Obesity treatment, understanding that for many patients, it is a sensitive issue

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Best Clinic Aesthetics Awards 2024

We were awarded Best Clinic London at the industry-leading 2024 Aesthetics Awards.

CQC ‘Outstanding’ Leadership

Our Leadership is rated ‘Outstanding’ by the independent healthcare regulator in England.

20 Years of Medical Distinction

We’re now entering our third decade at the top of our field, with over 100 of the country’s best consultants under our roof.

96% Customer Excellence Rating

We support 30,000 patient appointments each year, 96% of which were rated 5*.

Medically Reviewed 24th September 2025, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons

What are Weight Concerns?

Weight Concerns such as being Overweight or Obese are a group of medical conditions characterised by having an excessive amount of body fat. NHS data shows that in the UK, around 64% of adults are Overweight or Obese.

As well as impacting overall health, many patients find that weight gain is a cause of self-consciousness and may impact their confidence. They find that it affects the clothes they wear and the activities they feel comfortable participating in. In some cases, this may include being able to take part in physical activities, which could help them to lose weight.

Body Mass Index (BMI) is the most commonly used method to assess whether an individual’s weight is considered healthy. BMI compares your weight to your height, giving a score which fits into one of five categories:

  • Under 18.5 – Underweight
  • 18.5 – 24.9 – Healthy weight range
  • 25 – 29.9 – Overweight
  • 30 – 39.9 – Obese
  • 40 and over – Severely obese

If you are from an Asian, Chinese, Middle Eastern, Black African or African-Caribbean family background, the Body Mass Index for Obesity is adjusted slightly:

  • 23 – 27.4 – Overweight
  • 27.5 or above – Obese

This is to account for the increased health risks of being overweight or obese that are associated with specific ethnic backgrounds.

The NHS provides an online BMI calculator, which takes all of these factors into account.

It is important to acknowledge that BMI does have some limitations as it measures overall weight, rather than body fat. Therefore, very muscular individuals or those whose height is affected by a health condition may find that their BMI is not accurate. However, for the majority of the population, BMI is a useful way to understand whether they are at a healthy weight.

If you aren’t certain whether your Body Mass Index is a realistic reflection of your weight and health, it is advisable to speak with a doctor who can offer alternative ways of assessing your weight.

Why are Weight Concerns a Problem?

Being Overweight or Obese can be a serious health concern which impacts overall health by increasing the risk of several other health conditions:

 

Being overweight or Obese results in the heart and cardiovascular system needing to work harder to maintain the necessary blood flow around the body, providing oxygen to the blood cells and organs. Additionally, fat may build up within the arteries and blood vessels, resulting in blockages and further issues.

This increased and sustained pressure on the cardiovascular system heightens the risk and severity of certain conditions and health concerns:

  • High blood pressure
  • Coronary artery disease
  • High cholesterol
  • Type II diabetes
  • Heart attack
  • Stroke
  • Vascular dementia

There is a strong connection between being overweight and a group of health concerns known as Metabolic Syndrome.

The metabolic system converts food into energy and delivers key nutrients to the areas of the body where they are required. These processes are crucial for sustaining health and life.

Metabolic Syndrome is linked to insulin resistance, which is characterised by the body not responding to the hormone, insulin, effectively. Insulin helps cells to absorb sugar from the blood for energy. In cases where the body doesn’t respond to insulin production, the pancreas will produce less, impacting energy and causing irregular blood sugar levels, which can lead to Type II Diabetes.

Metabolic Syndrome is very common, and many people do not experience any symptoms.

Being overweight is a high-risk factor for a variety of musculoskeletal conditions and concerns. This is typically due to the increased physical pressure being placed on the joints and muscles by the excess weight.

Musculoskeletal conditions which may be linked to weight gain include:

  • Arthritis
  • Carpal tunnel syndrome
  • Muscle pain and fatigue
  • Osteoporosis
  • Joint pain
  • Limited mobility
  • Stress fractures

The respiratory system is made up of the organs which facilitate breathing and transferring oxygen into the bloodstream, including the mouth, nose, windpipe and lungs.

By restricting lung and diaphragm movement as well as placing physical pressure on the organs, making it harder to breathe, being overweight increases the risk and severity of several respiratory diseases:

  • Asthma
  • Sleep apnoea
  • Obesity Hypoventilation Syndrome (OHS)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Increased risk of respiratory infections

Being overweight or obese are the second biggest cause of cancer in the UK – connected to more than 5% of cancer cases.

Excess fat sends out signals that can tell cells throughout the body to divide more often, potentially resulting in the development of cancer. The signals released by fat cells can impact growth and sex hormones, as well as inflammation.

Due to these signals, the risk of cancer developing is influenced not only by the amount of excess fat an individual has, but also by how long they have had it.

There are 13 types of cancer for which being overweight or obese may increase the risk of:

  • Breast
  • Bowel
  • Pancreatic
  • Oesophageal
  • Gallbladder
  • Womb
  • Ovarian
  • Kidney
  • Liver
  • Upper stomach
  • Myeloma
  • Meningioma
  • Thyroid

Being overweight or Obese can lead to a variety of psychological concerns, often exacerbated by difficulties participating in physical or social activities such as exercise or travel. Many individuals experiencing weight gain or Obesity also report feeling less confident due to limited clothing choices.

These societal challenges may result in psychological concerns including:

  • Depression
  • Anxiety
  • Low self-esteem
  • Eating disorders and challenging relationships with food

In cases of weight concerns, these conditions are often considered bidirectional, meaning that as well as weight increasing the risk of psychological issues, the reverse can also be true.

Several factors can result in weight concerns impacting both male and female fertility.

Female Fertility

  • Overweight women often have higher levels of the hormone, leptin, which is produced by fat cells. This can disrupt the overall hormonal balance and reduce fertility levels
  • Higher levels of fat, especially abdominal fat, can cause hormonal disruption through decreased sex hormone-binding globulin, resulting in an irregular menstrual cycle
  • Women with a BMI of over 27 are three times more likely to have difficulty ovulating, and the quality of the eggs they produce may be reduced
  • Being overweight also increases the risks of IVF, including the chance of stillbirth following IVF, being higher

Male Fertility

  • Overweight men may experience hormonal imbalance, including lowered testosterone due to conditions such as sleep apnoea and Type II Diabetes
  • Research has shown that carrying an excess of 10kg may reduce male fertility by up to 10%
  • Weight concerns can reduce sperm quality, and also change the physical and molecular structure of sperm cells

There are several other health concerns and conditions for which weight concerns may be a high-risk factor:

  • Non-alcoholic fatty liver disease – A condition involving fat building up around the liver, which can lead to significant damage resulting in liver failure, or cancer
  • Kidney disease – Chronic kidney disease is directly linked to weight concerns and Type II Diabetes. This can lead to damage to the kidneys, affecting their function
  • Gallstones – By increasing the risk of high cholesterol, weight concerns are also a risk factor for gallstones. When the gallbladder can’t function properly, bile hardens, forming gallstones, which may require surgical treatment

Weight concerns are considered a significant public health concern in the UK, placing pressure on healthcare services.

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Words from our clients:


What Causes Obesity and Weight Gain?

Obesity and Weight Concerns are complex health issues, and the cause may not always be obvious. If you are concerned that your weight is increasing dramatically, when your lifestyle and diet have not changed otherwise, speak to a medical professional who will be able to investigate further.

The causes of weight gain include:

  • Calorie intake – Your body needs calories for energy; however, regularly consuming more calories than your body can use, especially from foods that are high in fat and sugar, results in an increase in body fat.
  • Genetics – Genetics can affect how your body uses energy and stores fat. For some people, this may play a role in Obesity.
  • Underlying health conditions – Health conditions such as Hypothyroidism (an underactive thyroid gland) can cause weight gain or Obesity. These conditions typically do not affect weight when they are being managed effectively with medical supervision and medication.
  • Medications – Certain medications, including steroids, and medications to manage high blood pressure, diabetes and mental health conditions, can cause weight gain. Your doctor will discuss these side effects with you when prescribing any medication.

Cadogan Clinic’s dedicated doctors will discuss the potential causes of your weight concerns with you during a one-to-one consultation at our award-winning clinic, based in Chelsea, London.


How to Treat Weight Concerns?

Weight Concerns are becoming an increasingly common problem, in part because the environment we live in makes it more challenging to eat healthily and exercise regularly.

Our specialist doctors take a non-judgmental approach to Weight Gain and Obesity treatment, understanding that for many patients, it is a sensitive issue, and often a cause for embarrassment.

 

Weight Loss Medication

Weight Loss Medication has become an increasingly popular option for treating and managing weight gain and Obesity concerns, which have been resistant to other weight loss solutions and are connected to other health conditions.

There are a variety of prescription Weight Loss medications available, which, generally speaking, are suitable for patients who fulfil certain criteria:

  • A BMI of 30 or over
  • Affected by or are at higher risk of Type II Diabetes, Hypertension, Cardiovascular Disease or Sleep Apnoea
  • Have found that other weight loss methods haven’t been effective or sustainable
  • Have a family background which increases your risk of being impacted by weight-related health conditions

Your doctor will discuss these criteria with you during your consultation to ensure anti-obesity medication is an appropriate option for you, and will also place you on a supervision plan while you are taking the medication to monitor your health and results. As well as regular follow-up appointments, this may include a referral to a dietician to optimise your diet and nutrition.

Prescription Weight Loss Medication at Cadogan Clinic includes:

 

GLP-1 Receptor Agonists and Dual GIP/GLP-1 Agonists

GLP-1 and GIP/GLP-1 Receptor Agonists are injectable medications that mimic certain digestive hormones, resulting in a feeling of fullness for longer and a suppressed appetite.

These weight loss medications are especially beneficial to patients who are also affected by or at a high risk of Type II Diabetes, as they also control blood sugar levels.

Medication names include Wegovy, Mounjaro, Ozempic, Rybelsus and Saxenda. The exact medication your doctor will recommend for you will depend on your personal circumstances and the availability of the medication.

 

Orlistat

Orlistat is taken as a tablet and is an alternative to weight loss injections. It works as a lipase inhibitor, which prevents around a third of the fat from the food consumed from being absorbed into the body. It must be combined with a controlled diet and can help prevent further weight gain and may also aid some patients in losing weight.

Medication names include Xenical and Alli, which are differentiated by the strength of the active ingredient. Your doctor will speak to you about the best option during your consultation.

Prescription weight loss treatment should be managed individually for each patient, taking into account their unique personal concerns. Cadogan Clinic’s expert doctors create a bespoke Weight Loss Medication plan for every patient and supervise them closely throughout their treatment.


Words From Our Founder

Mr. Bryan Mayou

Although Weight Concerns are a serious public health issue affecting up to 65% of adults in the UK, they are also a sensitive issue for many patients, and they must be handled correctly. Offering Obesity treatments and management aligns with Cadogan Clinic’s philosophy of enhancing the health and quality of life of our patients through the highest levels of patient care.
Mr. Bryan Mayou

Frequently Asked Questions

Although there is still some debate about whether Obesity or being overweight is a disease, institutions including the World Health Organisation (in 1997) and the Royal College of Physicians (in 2019) have recognised Obesity as a chronic, complex disease.

A disease is characterised by being an abnormal condition which affects the structure or function of the body. As Obesity impacts the structure and function of the body, and also increases the risk of weight-related health conditions, it can be considered a disease, further emphasising its seriousness.

Body Mass Index, more often known as BMI, is a calculation that measures an individual’s weight in proportion to their height.

To calculate BMI, height (cm) is divided by weight squared (kg).

When calculating BMI, there are several factors to be taken into account, including ethnic background, sex and muscle mass vs fat mass. We recommend using a tool such as the NHS BMI Calculator, which takes into account these variables alongside the basic calculation.

BMI is broken down into five categories. Any BMI of 30 or over is considered Obese, which means having a dangerously excessive amount of body fat for your height. For people with an Asian, Chinese, Middle Eastern, Black African or African-Caribbean family background, this is reduced to 27.5 as the risk factors in these ethnicities are higher for Obesity and weight-related health conditions.

Morbid Obesity is the now-outdated term for the most serious level of Obesity, referred to medically as Class III Obesity. This means that an individual has excessive body fat, which is connected to very serious, potentially life-limiting or threatening health risks, including heart disease, stroke and certain cancers.

A BMI of 40 or higher, or 35 or higher with weight-related health conditions, is categorised as Class III Obesity, or Morbid Obesity.

There isn’t a specific weight which is considered Obese, as Obesity is defined by the proportion of fat in your body compared to your height. Naturally, a taller individual will be heavier, so it isn’t possible to classify Obesity simply with weight.

For example:

  • A Caucasian adult who is 6ft (182cm) and 75kg has a BMI of 22.6, which is considered a healthy weight.
  • A Caucasian adult who is the same weight, but 5ft (152cm), has a BMI of 32.5, which is considered Obese

For most individuals, being Obese is based on their Body Mass Index (BMI). The best way to determine if you are Obese is to gather accurate height and weight measurements and use a BMI calculator that takes into account factors such as ethnicity for the most accurate result.

There are some instances where BMI may not be an accurate measure. These are typically individuals who have a medical condition affecting their height or those with exceptionally high muscle mass. Pregnant women should also not use BMI as a measure of their overall health.

The most effective way to prevent Obesity is to be proactive about your health, focusing on a balanced and nutritious diet with a calorie intake which reflects your usual activity levels.

It is also essential to speak with a doctor if you have any concerns about weight gain which appears abnormal before it becomes uncontrollable, as this may be a sign of an underlying health condition.

The Patient Journey. What you can expect on your journey with us

You will meet with one of our highly trained cosmetic dermatologists or surgeons at the Clinic on Sloane Street, Chelsea, for a no-obligation in-person assessment.

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How To Find Us

The Cadogan Clinic is based at 120 Sloane Street in Chelsea, just off Sloane Square and the Kings Road.

We are accessible by all major bus routes that pass through Sloane Square and Sloane Street, as well as Sloane Square tube station.

We are just a 5 minute walk northwards up Sloane Street once you have arrived at Sloane Square.

Local pay parking is available just around the corner from the Clinic on Cadogan Gate, Cadogan Square and Cadogan Gardens. Our local residential parking zone is the Royal Borough of Kensington & Chelsea.

Address: 120 Sloane Street, Chelsea, London, SW1X 9BW





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