Metabolic Health · Weight Management

Medical Weight Management in Delhi

Medical weight management in South Delhi with Dr. Sanjay Sachdev (MBBS, MNAMS) starts with a full metabolic blood work-up, then a realistic Indian diet, protein and activity plan. Where BMI and health risks justify it, supervised GLP-1 therapy such as Ozempic or Mounjaro is added. Consultations are at Friends Colony East and Maharani Bagh.

Structured, physician-led weight management for adults in South Delhi — metabolic assessment, lifestyle redesign, and supervised GLP-1 therapy (Ozempic, Wegovy, Mounjaro) where clinically appropriate.

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A medical approach, not a quick fix

Obesity is a chronic metabolic condition, not a willpower problem. The consultation starts with a full metabolic work-up — HbA1c, insulin resistance, lipids, liver and thyroid function, vitamin status — so the plan addresses the underlying biology, not just calories.

When GLP-1 therapy is considered

Semaglutide (Ozempic / Wegovy) and tirzepatide (Mounjaro / Zepbound) are powerful tools when used correctly — typically for BMI ≥ 27 with a weight-related condition or BMI ≥ 30. We assess eligibility, manage side effects, monitor labs, and integrate the medicine with diet, protein, sleep and movement.

Lifestyle plan you can actually live with

Realistic dietary patterns suited to Indian kitchens, a protein and fibre target, sleep and stress review, and a movement plan calibrated to your joints and schedule. We track waist circumference, body composition where available, and metabolic markers — not just the scale.

Your first visit, step by step

1. History: weight over the years, past diets, medicines, sleep, periods (for women) and family history of diabetes or heart disease. 2. Examination: weight, height, BMI, waist, blood pressure and signs of thyroid or hormone problems. 3. Blood tests: HbA1c, fasting insulin, lipids, liver and kidney function, TSH, vitamin D and B12. 4. A written plan: calorie and protein targets, a movement plan, and whether medication is appropriate — reviewed with you once results are back.

Indian BMI and waist cut-offs

South Asians carry more risk at lower weights, so Indian guidelines classify a BMI of 23–24.9 as overweight and 25 or above as obese. Waist size matters just as much: above 90 cm for men or 80 cm for women signals abdominal fat linked to diabetes, fatty liver and heart disease — even if the BMI looks normal.

Conditions that improve with weight loss

Losing 5–10% of body weight measurably improves blood sugar, blood pressure, triglycerides, fatty liver, knee and back pain, sleep apnoea and PCOS symptoms. Many patients with Type 2 diabetes or high blood pressure are able to reduce their medicines under supervision as weight comes down.

Safety and how medicines are supplied

GLP-1 medicines are started at a low dose and stepped up slowly to limit nausea. They are not used in pregnancy, or with a personal or family history of medullary thyroid cancer or MEN2, and need care with a history of pancreatitis or gallstones. The clinic does not sell medicines: you receive a prescription and buy the original pen from a licensed pharmacy.

Follow-up and keeping the weight off

Reviews are usually every 4 weeks for the first three months, then every 6–8 weeks, with blood tests at about 3 and 6 months. Strength training and adequate protein protect muscle while you lose fat. If medication is stopped, it is tapered with a stepped-up lifestyle plan to limit regain.

Who this is for

Patients with obesity, pre-diabetes, Type 2 diabetes, PCOS-related weight gain, fatty liver, post-pregnancy weight retention, or executives seeking a sustainable plan after years of failed attempts. Consultations available at Friends Colony East and Maharani Bagh.

Frequently asked

10 answers
Who is the best doctor for weight management in South Delhi?
Dr. Sanjay Sachdev (MBBS, MNAMS) runs a structured medical weight-management practice in Friends Colony and Maharani Bagh — combining metabolic work-up, lifestyle redesign, and where appropriate, GLP-1 therapy (Ozempic, Wegovy, Mounjaro).
When is medication like Ozempic or Mounjaro appropriate for weight loss?
GLP-1 receptor agonists are considered when BMI ≥ 27 with a weight-related condition (diabetes, hypertension, fatty liver, OSA) or BMI ≥ 30 — alongside diet, activity and behaviour change, not as a substitute.
How much weight can I realistically lose?
Structured medical weight management typically delivers 7–15% body-weight loss in 6–12 months; GLP-1 therapy in eligible patients can extend this to 15–22% with sustained use and lifestyle change.
Will the weight come back if I stop the medication?
Partly — that's why we treat obesity as a chronic condition. We plan the transition off medication carefully with intensified lifestyle support, and many patients maintain most of their loss with a structured maintenance plan.
What BMI counts as obese for Indians?
Indian guidelines use lower cut-offs than Western ones because South Asians develop diabetes and heart disease at lower weights: a BMI of 23–24.9 is overweight and 25 or more is obese. A waist above 90 cm in men or 80 cm in women is also a warning sign, even at a normal BMI.
Do I need to be diabetic to get weight-loss treatment?
No. Many patients have no diabetes. Treatment is based on BMI, waist size and weight-related conditions such as high blood pressure, fatty liver, PCOS, knee pain or sleep apnoea — the consultation decides which options suit you.
Does the clinic sell Ozempic or Mounjaro?
No. If a GLP-1 medicine is right for you, Dr. Sachdev writes a prescription and you buy the original pen from a licensed pharmacy. We never recommend compounded or grey-market injections.
How often are follow-up visits?
Usually every 4 weeks for the first three months while doses and diet are adjusted, then every 6–8 weeks. Blood tests are repeated at about 3 and 6 months to check sugar, liver, kidney and lipids.
Can I do weight management without injections?
Yes. Many patients reach their goal with a structured diet, protein target, strength training and sleep plan alone. Medication is added only when lifestyle change has not been enough or health risks are high.
What tests are done before starting weight-management treatment?
Baseline includes HbA1c, fasting insulin, lipid profile, liver and kidney function, TSH, vitamin D and B12, and a metabolic and family-history review. We screen for fatty liver and sleep apnoea where indicated.

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Consultations are by appointment at Friends Colony East and Maharani Bagh, South Delhi.

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