Medical Weight Management

Medical weight management at Pulse Clinic Singapore takes a whole-body, clinically led approach that goes beyond simple calorie counting or prescribing medication without context. The programme is built around understanding why a patient is overweight — whether the dominant drivers are hormonal (low testosterone, thyroid dysfunction, insulin resistance), behavioural, or a combination — and designing an intervention that addresses root causes rather than…

The process begins with a comprehensive medical consultation. The doctor takes a detailed history of the patient's weight trajectory, diet, activity levels, sleep quality and any previous attempts at weight loss. A full metabolic blood panel is ordered, including fasting insulin and glucose (to calculate HOMA-IR as a measure of insulin resistance), HbA1c, full lipid panel, liver function tests, thyroid function (TSH, free T4), and for men over 35, total…

Treatment options are then discussed collaboratively with the patient. GLP-1 receptor agonists (semaglutide or liraglutide) represent the most clinically effective pharmacological option for most patients and form the cornerstone of the clinic's medical weight management approach. For patients with significant insulin resistance or pre-diabetes, metformin may be considered as an adjunct. For men with confirmed low testosterone, addressing hypogonadism…