Orlistat and Xenical: These tablets harness the power of orlistat to inhibit the action of lipase enzymes in the digestive system. By blocking fat absorption, Orlistat and Xenical facilitate the elimination of excess fat from the body, supporting weight loss when taken with meals containing fat.
Mysimba: Unlike traditional weight loss medications, Mysimba targets brain regions responsible for regulating energy levels and food intake. By reducing appetite and enhancing satiety, Mysimba helps control cravings and promotes healthier eating habits.

It’s important to recognize that while side effects are possible, not everyone will experience them. If you do encounter any side effects while undergoing weight loss treatment, they typically subside within a few weeks. However, if they persist or significantly impact your well-being, don’t hesitate to reach out to our doctors for guidance and support.

Certain treatments, such as Wegovy and Mysimba, are gradually increased over time to minimize the likelihood of side effects. This approach allows your body to adjust to the medication, reducing the chances of discomfort and ensuring a smoother experience.

Each weight loss treatment may present different side effects. Here’s what to expect with some of the treatments we offer at BMACS Clinic:

• Headaches
• Nausea or vomiting
• Diarrhoea
• Constipation
• Stomach pain
• Fatigue

These side effects are typically temporary and diminish as your body adapts to the medication.

• Diarrhoea
• Constipation
• Nausea and vomiting, particularly when used alongside certain diabetes medications that may lower blood sugar levels
Most side effects associated with Mounjaro are related to the digestive system and tend to resolve over time.

• Hot flushes
• Anxiety
• Difficulty sleeping
• Headaches
• Dizziness
• Restlessness
• Heart palpitations
These side effects usually diminish as your body becomes accustomed to the medication. However, it’s essential to inform our doctors of any pre-existing medical conditions before starting Mysimba treatment.

• Urgent and more frequent bowel movements
• Oily or fatty stools
• Rectal discharge
• Flatulence
Following a low-fat diet can help reduce the risk of these side effects while undergoing treatment with Orlistat, Alli, or Xenical.
At BMACS Clinic, we emphasize the importance of incorporating regular exercise into your weight loss journey, alongside maintaining a nutritious diet. The guidance provided by the UK government suggests aiming for a minimum of 150 minutes of moderate intensity exercise each week, which can be conveniently divided into 30-minute sessions, five times a week. Remember, any exercise is better than none, so if you’re new to physical activity, start gradually with just 10 minutes a day and gradually increase your duration.
Exercise offers a myriad of health benefits and plays a pivotal role in reducing the risk of various weight-related illnesses. According to NHS research, engaging in regular physical activity can significantly decrease the likelihood of developing type 2 diabetes by up to 40%.
Moderate intensity exercises encompass activities that elevate your heart rate and breathing, such as cycling, brisk walking, dancing, or swimming. For those with limited time, 75 minutes of vigorous exercise per week or a combination of both moderate and vigorous activities is equally effective. Vigorous exercises, including competitive sports like rugby or boxing, circuit training, and running, challenge your cardiovascular system, making it imperative to engage in activities that suit your fitness level.
In addition to cardio workouts, integrating strength and balance exercises into your routine twice a week is essential for overall well-being. Strength-building exercises, such as weightlifting or yoga, enhance muscle tone and metabolism, while balance exercises, like tai chi, promote stability and prevent falls.
Given the sedentary nature of modern lifestyles, it’s crucial to break up prolonged periods of sitting by incorporating movement breaks throughout the day. Whether it’s standing during phone calls or taking short walks, every bit of activity contributes to your overall health.
If you’re unsure how to start or tailor an exercise regimen to your needs, our team of experts, including GPs, weight loss advisors, and personal trainers, are here to assist you. Setting realistic, achievable goals is key to sustaining long-term exercise habits, so don’t feel pressured to meet the recommended duration immediately.
Individuals who are overweight or have a history of obesity may need to increase their exercise intensity and duration to prevent weight regain. Aim for 45 to 60 minutes of moderate exercise daily, gradually progressing to 60 to 90 minutes for those with a history of obesity.
Make exercise a rewarding and enjoyable part of your daily routine by finding activities that resonate with you or incorporating social elements by exercising with loved ones. At BMACS Clinic, we’re committed to empowering you on your journey to improved health and well-being through the power of physical activity.

At BMACS Clinic, we advocate for a gradual and sustainable approach to weight loss through dietary modifications tailored to your individual needs. To achieve a safe and steady weight loss of 0.5 to 1 kg per week, it’s recommended to reduce your daily calorie intake by 600 kcals under the guidance of your healthcare provider. Our dedicated team is here to support you with personalized diet plans designed to foster healthier eating habits for a lifetime, rather than quick-fix solutions.
For optimal results, women should aim to consume no more than 1,400 calories per day, while men should limit their intake to 1,900 calories daily. Effective weight management entails substituting high-energy, unhealthy foods with nutrient-rich alternatives and minimizing the consumption of processed foods, fast food, and sugary beverages like sodas and alcohol.
A well-rounded, balanced diet comprises:
• A variety of dairy products and milk for essential calcium and protein
• Protein-rich sources such as lean meats, eggs, fish, and legumes to support muscle maintenance and repair
• Abundant servings of vegetables and fruits for vital vitamins, minerals, and fiber
• Whole grains like rice, pasta, bread, and potatoes for sustained energy release and dietary fiber
• Limiting the intake of foods and beverages high in sugar or fat to maintain overall health and well-being
Individuals who are overweight or obese should pay particular attention to their salt intake, as excessive consumption can elevate blood pressure levels and contribute to hypertension. Reading food labels diligently can aid in monitoring calorie intake, while opting for water as the primary beverage choice helps reduce unnecessary calorie consumption from drinks.
Avoidance of “fad” diets is paramount, as these often prove unsustainable and may lead to adverse health effects. Instead, opt for well-rounded diet programs that:
• Foster a balanced approach to food choices without overly restrictive measures
• Educate on healthy eating habits and portion control for sustainable weight management
• Prioritize gradual, safe weight loss methods conducive to long-term success
Individuals contemplating very low-calorie diets (<800 calories per day) should consult with a healthcare professional before proceeding, as these approaches are suitable for only a select few and should not be sustained beyond 12 weeks. At BMACS Clinic, we're committed to guiding you towards a balanced and nourishing diet that supports your weight loss journey while promoting overall health and well-being.

At BMACS Clinic, we recognize that weight loss surgery can serve as a viable option for individuals struggling with obesity. However, such procedures are typically reserved for cases of severe obesity and are subject to specific criteria to ensure safety and efficacy.
To qualify for weight loss surgery, individuals must meet the following criteria:
• Adequate fitness levels to undergo surgical intervention safely
• A body mass index (BMI) exceeding 40, or a BMI between 35 and 40 accompanied by certain health conditions that could benefit from weight loss, such as type 2 diabetes
• Demonstrated commitment to long-term post-operative care and follow-up
• Exhaustion of alternative weight loss strategies without sustainable results
• Participation in intensive weight management programs, often coordinated through primary care providers
In exceptional circumstances, immediate surgical intervention may be recommended for individuals with a BMI surpassing 50, reflecting the urgency of addressing severe obesity.
At BMACS Clinic, we prioritize patient safety and well-being, ensuring that weight loss surgery is approached with careful consideration and tailored to individual needs. Our multidisciplinary team collaborates closely with patients to explore all available options and determine the most suitable course of action for achieving sustainable weight loss and improved health outcomes.

Weight loss injections operate by mimicking hormones in your body responsible for regulating hunger. GLP-1 (found in Wegovy, Mounjaro, and Saxena) and GIP (in Mounjaro) send signals to your brain, tricking it into feeling full even after consuming less. Additionally, they delay stomach emptying, prolonging the feeling of fullness. By reducing hunger, weight loss injections facilitate weight loss, making it easier to adhere to a diet and exercise plan.

The functionality of weight loss tablets varies. Orlistat tablets (Xenical, generic orlistat, and Alli) reduce fat absorption from meals by approximately a third, aiding in weight loss by reducing fat intake. Mysimba impacts brain regions responsible for appetite, cravings, and energy levels. While the exact mechanism is not fully understood, Mysimba can reduce hunger and curb cravings, complementing a diet plan.

The most suitable weight loss treatment depends on various factors, including personal preference, BMI, medical history, current medications, and whether you prefer injections or tablets. If you’re uncertain after reviewing this information, our doctors are available to provide further guidance and advice tailored to your individual needs.