Medical weight loss · online across Spain

Medical weight loss, doctor-led: at a pace you can keep

A doctor-led medical weight loss programme, online anywhere in Spain: a doctor reviews your history and habits by video call, orders blood tests when indicated and builds a staged plan with regular reviews. Medication is prescribed only when it is indicated. If you prefer, the consultation can also take place in Fuengirola.

In short

A doctor-led medical weight loss programme, online anywhere in Spain:

a doctor reviews your history and habits by video call, orders blood tests when indicated and builds a staged plan with regular reviews. Medication is prescribed only when it is indicated. If you prefer, the consultation can also take place in Fuengirola.

How your visit goes

Five steps, and the first is not a treatment.

The same steps whatever the treatment. Nothing is decided for you, and nothing is done on day one unless it is indicated.

  1. 01

    Initial consultation

    We take your history, your family background, your habits and your goals. We understand your starting point and decide what is worth measuring.

  2. 02

    Blood tests and body composition

    A metabolic panel (glucose and insulin and their relationship, lipid profile, blood pressure and other markers as needed) alongside body composition. Blood tests are done at a centre near you.

  3. 03

    Medical review

    Your doctor interprets the whole picture, calculates your risk and defines what makes sense for you, including whether supportive medication is indicated or not.

  4. 04

    A plan built for you

    Nutrition, activity, strength, sleep and habits, in a realistic plan you can sustain, with clear, measurable goals.

  5. 05

    Follow-up in cycles

    Periodic reviews where we measure progress (weight, body composition, circumferences and markers) and adjust. The support is what sustains the result.

Definition

What a weight and metabolic programme is and why they belong together

  1. 01

    Weight and metabolism are treated together because they are the same mechanism: abdominal fat worsens insulin, and insulin makes weight harder to lose.

  2. 02

    Losing and keeping off 5-10% of body weight already improves blood pressure, glucose and lipids in many people.

  3. 03

    Prediabetes and insulin resistance are largely reversible when addressed early.

  4. 04

    Structured, sustained follow-up beats one-off diets and reduces the rebound effect.

  5. 05

    We do not measure the scale alone: body composition, waist circumference and metabolic markers all count.

  6. 06

    Supportive medication, where indicated, is individual, monitored, and never replaces the underlying changes.

Safety

Risks, contraindications and who should hold off

Losing weight too fast or without oversight can carry unwanted effects: loss of muscle mass, nutritional deficits, gallstones, mood changes or the dreaded rebound effect. On the metabolic side, the main risk is silence: insulin resistance, cholesterol and blood pressure progress without symptoms for years. A medical programme exists to prevent the first and catch the second, with a reasonable pace and periodic checks. When supportive medication is considered, it is only prescribed under medical indication, after reviewing your history, and with follow-up. Certain situations, such as pregnancy, breastfeeding, kidney or liver disease and active eating disorders, rule out or reshape the approach.

Notice

The information on this page is general and educational. It can guide you, but it does not diagnose or prescribe: it does not replace a medical consultation.

Questions

What people ask before the first appointment.

Another question? Message us on WhatsApp.

How is this different from a regular diet?

There is a doctor behind it, a starting diagnosis and ongoing follow-up. It is not a generic meal plan; it is built on your own data and adjusted as you progress.

What is insulin resistance?

It is a state in which your cells respond less well to insulin, the hormone that moves glucose into them. The body compensates by producing more insulin, and over time that can lead to prediabetes and other issues. It often causes no symptoms at first.

How do I know if I have it?

It is assessed through blood tests, looking at glucose and insulin and their relationship, alongside other markers and your history. Signs like fatigue, difficulty losing weight or abdominal fat can be suggestive, but they do not diagnose it on their own.

Can insulin resistance be reversed?

In many cases, yes, especially when addressed early. Losing excess weight, eating better, moving more and sleeping well meaningfully improve insulin sensitivity.

Is your question not here? Write to us and we will answer.

Message us on WhatsApp

Take the step

Start by knowing where you stand

A doctor-led follow-up programme, online anywhere in Spain. You see the price before you pay anything; blood tests and medication, when indicated, are paid separately.

  • A consultation with the doctor, unhurried
  • A written plan and quote
  • No obligation to continue
Dr Fabián Padilla UrielesYou will seeDr Fabián Padilla UrielesReg. no. 515101032

Further reading

Reading to help you decide calmly

Guides and articles on this treatment, written to answer your questions before the consultation.

Educational content by Rejuvelook

Metabolic medicine and weight management