The pathway
How it works
Treatment is deliberately structured. Every stage below happens in order, and several stages are handled by separate systems — this page makes clear which is which.
1. 1st Face-to-face visit
Initial in-person assessment at Spire to determine suitability and baseline renal measurements.
2. 2-week video clinic & bloods
Two weeks after starting your medication, we conduct a video consultation and blood tests to monitor early adaptation.
3. 4-weekly bloods & monitoring
Blood tests every 4 weeks with continuous monitoring via our portal. We use PIFU (Patient Initiated Follow-Up) for flexible support.
4. Compliance & prescriptions
You must have up-to-date bloods and weight recorded on the platform to ensure your next prescription is issued.
5. 26-week outcome video clinic
A formal review at 26 weeks via video to assess long-term outcomes and plan the next phase of treatment.
6. Pay as you go
No need to pay the whole amount upfront. Cancel anytime with no long-term commitment.
Note: This platform is for clinical monitoring only. No payment is taken on this website.
Medication is only part of it
Each review covers appetite, nutrition, hydration and protein intake alongside your dose — because with reduced kidney function those details change what safe weight loss looks like.