Why we practise this way. What we thought about when opening the clinic, set out plainly.
Plenty of people have been told that their weight is down to weak willpower, or not trying hard enough. We hear from people who were told that so often they gave up asking for help at all.
But weight sits on top of a great many things that were never yours to choose: inherited constitution, how your hormones work, sleep and working hours, the food around you, the accumulated effect of every diet you have tried. It was never only your fault. This is not a problem that willpower alone can push back.
Seeing patients day after day with high blood pressure, abnormal lipids, diabetes and fatty liver, we have come to feel again and again that obesity lies behind a great deal of it. Bringing the numbers down with medicine, while leaving the underlying weight untouched, tends to end up back where it started. We have watched that happen many times.
That is exactly why we believe medicine has something to offer here. We want this to be a place where nobody is blamed — a place to work out what is going on and decide the next step together. That is where this clinic starts.
