Weight & Metabolic Health Service

Consultant-led. Consultant-delivered. Bespoke.

Achieving a healthy weight and restoring metabolic balance requires more than willpower – it requires science, structure, and expert support.

At The Clinic Holland Park, West London, our medical weight and metabolic health service is led by Dr Sean Noronha, a consultant endocrinologist with over a decade of experience in the fields of diabetes, hormones and weight loss. Every assessment, treatment plan and follow-up is delivered personally by Dr Noronha, bringing specialist expertise into a discreet, private setting.

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Why choose a consultant-led approach

Expert oversight – all consultations and prescriptions are managed by a fully qualified consultant endocrinologist.
Tailored treatment – plans are designed around your medical history, lifestyle, and goals.
Comprehensive focus – we address not only weight but overall metabolic and cardiovascular health.
Safety and discretion – evidence-based medicine, delivered in a calm, boutique environment.

Who we see

We support adults who:

Wish to reduce their weight to improve physical or mental health
Are seeking to optimise fertility or hormonal balance through weight management
Have metabolic conditions such as insulin resistance, pre-diabetes or PCOS
Seek an expert second opinion on thyroid or other hormonal treatment

Please note: our service is regulated for medical weight management. Broader hormonal or metabolic issues are discussed within that context.

Suitability for treatment

Every person’s weight and metabolic health story is different. We do not rely on BMI alone, which is an imperfect measure of health. Instead, treatment decisions are based on a detailed medical assessment, considering your overall wellbeing, metabolic profile, and individual goals.

If medication is appropriate, Mounjaro® (tirzepatide) is our treatment of choice, prescribed as part of a structured, consultant-led plan with regular review and support.

We also see individuals who have previously been declined treatment elsewhere, for example where rigid BMI thresholds were applied, to discuss whether a medically supervised approach may still be appropriate and beneficial.

What to expect

Your journey begins with a detailed medical consultation exploring:

Current health, weight history and goals
Lifestyle factors including diet, sleep, and physical activity
Previous treatments and metabolic background

Following assessment, you will receive a bespoke treatment plan, which may include lifestyle strategies, nutritional guidance, and, where clinically appropriate, evidence-based medical therapy.

Follow-up reviews are arranged monthly during the early stages of treatment to monitor progress, address any side effects, and fine-tune your plan.

Safety and side effects

Like all medicines, advanced weight-management treatments can cause side effects. The most common are nausea, bloating, abdominal discomfort and changes in bowel habit, usually settling as your body adjusts. Dr Noronha will discuss potential effects and provide tailored advice on how to minimise them.

Lifestyle and long-term results

Medication is only one part of successful weight and metabolic management. Treatment provides an opportunity to reset your relationship with food, exercise and general health – building habits that support lasting change.

Sustainable results come from combining medical therapy with informed lifestyle choices, leading to improvements not only in weight but also in body composition, metabolic health and body confidence.

Consultation options

Initial Consultation £250
Follow-up Consultation £200

Consultations are available both in-person and via secure video link, depending on your preference and convenience. Many patients appreciate the privacy and flexibility of virtual appointments, which offer the same level of medical care and continuity as face-to-face visits.

If you would like a more detailed metabolic health review or you are already using a privately purchased weight-loss treatment and would like an expert review of your current approach – for example, to check safety, dosing, and progress – Dr Noronha offers one-off, consultant-led assessments. Please contact the clinic directly to arrange a bespoke consultation and fee.

Treatment options and fees

Your treatment plan may include lifestyle and behavioural strategies, or prescription-only therapies where appropriate. All medication is prescribed and supplied following clinical assessment.

Advanced injectable therapy (Mounjaro® KwikPen®)

2.5 mg £180
5 mg £200
7.5 mg £250
10 mg £280
12.5 mg £300
15 mg £310

Prescription-only medicines are provided at the consultant’s discretion following medical assessment. Suitability will be reviewed at each stage of treatment.

Your experience at The Clinic Holland Park

Our clinic team ensures a seamless, discreet experience from initial booking to ongoing follow-up. The environment reflects the standards of care you can expect: calm, elegant, and completely private.