The pathway
How it works
Treatment is deliberately structured. Every stage below happens in order to ensure the highest standards of renal safety and clinical care.

1. 1st Face-to-face visit
Initial in-person assessment at Spire Norwich to determine suitability and baseline renal measurements.
2. 2-monthly follow-up appointments & bloods
Regular consultation and blood tests every 2 months to monitor tolerance, Adapt and review your progress.
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. Track your progress online
Access your online patient account to track weight trends, view prescriptions, and monitor blood results. Stop when you reach your goals.
6. Pay as you go & no contracts
No need to pay upfront. Cancel anytime with no long-term commitment or tied-in contract.

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.
Booking done on Professor Althaf's clinic page and clicking here will take you there
