The Metabolic Clinic

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Lifestyle and Medical Conditions

  • Obesity
  • Type 2 diabetes or metabolic syndrome
  • Chronic liver or kidney disease
  • Sleep apnea
  • Malnutrition or extreme dieting
  • Excessive alcohol consumption

Age-Related Decline

  • Natural drop in testosterone levels, typically after age 30
  • Sometimes referred to as “andropause” or age-related hypogonadism

Testicular Causes (Primary Hypogonadism)

  • Genetic conditions (e.g. Klinefelter syndrome)
  • Testicular injury or trauma
  • Chemotherapy or radiation
  • Mumps infection affecting the testes
  • Undescended testicles (cryptorchidism)

Brain or Hormonal Signal Issues (Secondary/Tertiary Hypogonadism)

  • Pituitary gland disorders or tumours
  • Hypothalamic dysfunction (e.g. Kallmann syndrome)
  • Head trauma or brain surgery
  • Long-term use of opioids or steroids
  • Chronic stress or severe illness

Fertility & Reproductive Care

  • PCOS Treatment (Irregular periods/ Infertility/ Acne)
  • Hormone-related Infertility Treatment & Optimisation

Bone Health Management

  • Osteoporosis Assessment and Treatment
  • Bone Building Therapy

Diabetes

  • Diabetes Management
  • Diabetes Technology/ Continuous Glucose Monitoring (CGM)
  • Insulin Therapy & Pump Management

Metabolic & Hormonal Screening

Metabolic (Diabetes/ Thyroid/ Cholesterol/ Bone Health) Screening Packages

Longevity

Longevity Counselling & Management

Weight Management & Nutritional Counselling

  • Diet and Exercise-Focused Plans
  • GLP-1/ Weight Loss Injections
  • Pre-Bariatric Surgery Optimisation

Endocrine Therapy

  • Thyroid/ Adrenal Hormone Replacement
  • Testosterone or Oestrogen Therapy
  • Prolactin & Aldosterone Suppression
  • Klinefelter’s and Turner’s Syndrome Management
  • Mitigating Androgen-Deprivation in Prostate Cancer
    Mitigating Oestrogen Blockade in Breast Cancer
  • Immunotherapy-related Endocrinopathy Management
  • Thyroid surgery complication management (Hypoparathyroidism)
  • Gender-Affirming Therapy