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Medical weight loss: guide to treatment, prices and expectations

Medical weight loss has changed the options for people who have struggled with their weight for a long time. But the medication is not a miracle cure, and a serious course requires medical follow up. This guide explains what medical weight loss is, who it is relevant for, and what to expect in terms of price and process.

What is medical weight loss?

Medical weight loss is treatment with prescription medication that reduces appetite and increases the feeling of fullness, combined with medical follow up and guidance on diet and exercise. The medication is typically taken as a weekly injection, and the dose is increased slowly. Treatment must always be started and monitored by a doctor, who assesses whether the medication is suitable for you and keeps an eye on effects and side effects along the way. Never buy weight loss medication outside a doctor's care: it can be both illegal and dangerous.

Who is medical weight loss relevant for?

Medical weight loss is generally for adults with severe overweight, typically a BMI of 30 or above, or a BMI of 27 or above combined with weight related health problems such as type 2 diabetes, high blood pressure or sleep apnea. The doctor always makes an individual assessment, which also considers your medical history and any other medication. If you are pregnant, breastfeeding or planning pregnancy, the treatment is not suitable. Medical weight loss is not a shortcut for people who want to lose a few kilos for cosmetic reasons.

How a treatment course works

A typical course starts with a thorough initial examination, often with blood tests, where the doctor assesses your starting point and makes a plan. You then start on a low dose, which is gradually increased over a few months, while the doctor follows your weight, your wellbeing and any side effects such as nausea or fatigue. Most clinics offer ongoing consultations, in person or by video, and many combine the medication with dietary guidance and a plan for physical activity. A course typically lasts at least six to twelve months.

What does medical weight loss cost?

The largest expense is the medication, which typically costs 1,000 to 2,500 kroner per month depending on the product and dose. On top of that come the clinic's consultations: an initial examination often costs 500 to 1,500 kroner, and follow up consultations typically 300 to 800 kroner. Some clinics offer package prices where follow up is included. As a general rule the public system does not subsidise weight loss medication, so expect to pay yourself. Always ask the clinic about the total price for a full course, not just the start.

Medication is not the whole solution

Experience shows that weight often increases again if you stop the medication without having changed your habits. That is why the best treatment courses use the medication as support for lasting changes in diet, exercise and sleep. Choose a clinic that offers real follow up and guidance, and not just the prescription. Also talk to the doctor about a plan for when the treatment is eventually tapered off. A good course does not end with the last injection.