Dr Alvin Mondoh, BeyondBMI
- Why body weight changes and why keeping weight off is hard: inherited factors, appetite signalling, the food environment, sleep and stress, other medicines, pain and mobility, and life stage
- How treatment is actually chosen: start with the person, then agree what success looks like beyond the scale, from waist and blood pressure to sleep, pain, mobility and quality of life
- Seven anonymised cases from clinical practice, each taking a different treatment path, and what happened when the weight loss levelled off
- What the options genuinely differ on: how they work, tablet or injection, the results seen on average, the evidence behind them and cost
- Side effects as a conversation about symptoms: what is usually manageable, what needs review soon, and what needs urgent assessment
- Five ideas to take away, including that your response is individual and that a plateau is a review point, not proof that treatment has stopped working