Consultant renal specialist · Face-to-face assessment before any prescription
Suitability
This is a renal service first and a weight service second. It exists for adults whose kidney function means a standard weight-loss clinic is not appropriate.
Reduced kidney function changes how weight loss should be monitored. Gastrointestinal side effects can cause dehydration and a temporary drop in kidney function, so creatinine is tracked alongside your weight throughout treatment.
Weekly weight · creatinine monitoring · six-weekly review
Recorded weight reflects both tissue mass and fluid status. Weighing at a consistent point in your dialysis cycle is what makes a trend line meaningful, and fluid balance is discussed at each review.
Weekly weight (consistent cycle point) · six-weekly review
Dwell volume and glucose absorption both affect recorded weight and appetite. Treatment is reviewed with your PD regime in mind, not in isolation.
Weekly weight · six-weekly review
Weight gain after transplant is common and matters for graft function. Treatment is reviewed alongside your immunosuppression and transplant-team follow-up, never in isolation from it.
Weekly weight · creatinine monitoring · six-weekly review
No treatment decision is made from a web form. Eligibility is assessed at your face-to-face consultation, and some people will be advised that GLP-1 treatment is not appropriate for them.
