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Metabolic health · Cape Town

Weight Lossand Body CompositionConsultation

A physician-led, data-driven body recomposition framework.

Book Consultation R3890 · 30 min
Long-term Weight LossImproved Muscle Mass
Cortisol & StressMenopause WeightSlow MetabolismLate Night Eating
Book Consultation R3890 · 30 min

Watch first - 60 Sec

This consult, explained in under a minute

Doctor-led

HPCSA-registered practitioners.

Measured, not guessed

Body composition and metabolic markers.

No crash diets

Sustainable, muscle-sparing plans.

12-week roadmap

Measurable checkpoints throughout.

Book Consultation

Getting started is simple

  1. 01

    Book your slot

    30 minutes at 183 Bree Street, with your intake form sent ahead.

    Consultation preview183 Bree Street30 min
    ChooseYour timeOnline

    Live availability shown when you book

  2. 02

    Results explained

    Glucose, insulin, HOMA-IR and body composition, read by a doctor.

    Glucose 5.2Insulin 6.1HOMA-IR 1.4Optimal range
  3. 03

    Follow your plan

    A 12-week roadmap with measurable checkpoints.

    Start Week 0Review Week 4Adjust Week 8Retest Week 12Fat down, muscle held
Book ConsultationSee how it works

Metabolic markers

Bloodwork chosen for weight resistance

Dr Raythaan AddinallMedical Practitioner

Glucose
& insulin

3 markers

  • HbA1c

    your average blood sugar level over the past 2–3 months

  • Fasting glucose

    your blood sugar before eating

  • Fasting insulin

    how much insulin it takes to hold that level

Heart
& lipids

5 markers

  • Total cholesterol

    the overall figure, useful only in context

  • LDL-C

    the cholesterol that drives arterial risk

  • HDL-C

    the protective fraction

  • Triglycerides

    fat in the blood, sensitive to diet and insulin

  • ApoB

    counts the particles that actually cause plaque

Thyroid
& hormones

5 markers

  • TSH

    shows how your thyroid is working

  • Free T4

    active thyroid hormone

  • Total testosterone

    affects muscle, mood and where fat sits

  • SHBG

    a protein that binds hormones and affects how much is available

  • IGF-1

    reflects growth hormone activity and lean tissue

Liver
& inflammation

4 markers

  • ALT

    liver enzyme, often raised with fatty liver

  • GGT

    a second liver marker, sensitive to alcohol and fat load

  • hs-CRP

    picks up low-grade inflammation

  • Ferritin

    iron stores, which also rise with inflammation

Calculated
ratios

No extra test cost

  • HOMA-IR

    insulin resistance, worked out from glucose and insulin

  • Triglyceride:HDL ratio

    a simple read on metabolic health

  • Free androgen index

    testosterone availability, from testosterone and SHBG

+More

Reviewed in your consult

Additional tests may be recommended after your results and clinical review.

See all tests

Blood work is done before your consultation, so your results are reviewed with you in the session.

Additional tests may be required after clinical review.

Blood tests are from

R3,700An estimate, not a quote, and billed separately from the consult fee.

Metabolic care by WellNest

Why a doctor-led weight plan works better

Measured progress, not guesswork, with a plan built around your own numbers.

Book my weight loss consult
01Improved metabolic flexibilityYour body burns fat and glucose when it should, not whichever is easiest.
02Fat loss that holds
03Muscle preserved, not sacrificed
04Better insulin & glucose balanceMeasured on fasting insulin and HOMA-IR, not guessed from the scale.
05Stable energy & appetite controlSteadier energy and fewer cravings once glucose settles.
06Composition, not just kilograms

Measured progress, not guesswork, with a plan built around your own numbers.

Book your consult

Consultation flow

Metabolic intake

Your goals

Fat lossMuscle preservationStable energySleep qualityFewer cravingsBetter mobilityContinue

01

Medical Intake Form

A brief survey before you come in: your training, eating, sleep, stress and medical history. Your WellNest doctor will read it in advance.

02

Body Composition & Bloods

Fat mass vs lean mass, waist and visceral fat. What we analyse: glucose, insulin, HOMA-IR, thyroid and inflammatory markers.
An InBody body composition result sheet showing muscle-fat analysis, visceral fat area and InBody score
A WellNest Gold doctor going through a patient’s results sheet with her at a consulting table in Cape Town

03

Doctor-Led Weight Loss Consultation

Thirty minutes. What's driving the resistance, what to change, and a 12-week plan with checkpoints you can measure.

Optional add-ons

Build the right level of detail

  • Advanced metabolic panel

    In-depth insulin resistance and metabolic risk testing.

  • Continuous glucose tracking

    Precision feedback through continuous glucose monitoring.

  • DEXA scan referral

    Detailed body composition and bone density analysis.

  • Supplement stack

    Optimised nutrient support aligned to your metabolic profile.

  • Peptide protocols

    Peptide-supported recomposition strategies where clinically appropriate.

Measuring waist circumference with a tape measure

What people usually experience

  • Weight that returns after each period of loss
  • An established routine that no longer changes your weight
  • Hunger that is greater than you expect for your intake
  • Weight increasing despite consistent effort
  • Progress that has not been sustainable

Weight regain

Weight that returned

Weight regain is a signal, not a personal failure

Weight regain can be influenced by appetite, sleep, stress, training load, medicines and metabolic health. Your doctor reviews the full picture, including relevant blood work, then helps you build a realistic fat-loss plan that protects lean muscle and can be adjusted as your body responds.

What people usually experience

  • Weight that returns after each period of loss
  • An established routine that no longer changes your weight
  • Hunger that is greater than you expect for your intake
  • Weight increasing despite consistent effort
  • Progress that has not been sustainable

Clinical focus

What we look at together

A body-composition strategy works best when the medical, training and lifestyle picture is read as one.

  • Is insulin the problem?Understanding how your body handles sugar will help determine the best practice for fat loss and regulating energy levels.
  • Are you losing muscle or fat?We show you whether it is fat or muscle coming off the scale, and how to reach your goal.
  • What's causing the bloating?Is it sleep, inflammation or water retention? Let the data answer your questions.
  • Has your metabolism slowed down?What have all those diets and calorie deficits resulted in? We understand where you are and how to bring you where you want to be.
A practitioner and a client talking in armchairs beside a low table in the WellNest lounge
  • Is insulin the problem?

    Understanding how your body handles sugar will help determine the best practice for fat loss and regulating energy levels.

  • Are you losing muscle or fat?

    We show you whether it is fat or muscle coming off the scale, and how to reach your goal.

  • What's causing the bloating?

    Is it sleep, inflammation or water retention? Let the data answer your questions.

  • Has your metabolism slowed down?

    What have all those diets and calorie deficits resulted in? We understand where you are and how to bring you where you want to be.

Start here

Book your
metabolic consult

Your doctor reviews your history, body-composition goals, training, nutrition, sleep and recovery patterns, then advises on targeted testing and the clearest next steps. This brings the full picture into a practical framework for measurable progress.

Book Consultation
A notebook, pen and stethoscope beside a laptop on a clinician’s desk

Consult fee

R3890

Session length

30 min

Intake

Sent ahead

Blood work

Before consult

In person at 183 Bree Street, or online anywhere in South Africa.

Book Consultation

How it works

Metabolic care, explained

Science

A physician-led, data-driven consult focused on metabolic health and sustainable body recomposition.

Protocol

A 30-minute doctor-led session, prepared with time set aside for your profile.

Support

HPCSA-registered oversight, measured progress and a plan reviewed against your own numbers.

Explore other consults

Targeted Supplement/IV Assessment

Learn moreBook consult

Baseline 360 Health & Longevity Assessment

Lifestyle & Wellness Consultation

Hormone Optimisation Assessment

Peptide Therapy Consultation

Concierge General Consult (online/in person)

Follow Up

Targeted Supplement/IV Assessment

Learn moreBook consult

Baseline 360 Health & Longevity Assessment

Learn moreBook consult

Lifestyle & Wellness Consultation

Learn moreBook consult

Hormone Optimisation Assessment

Learn moreBook consult

Peptide Therapy Consultation

Learn moreBook consult

Concierge General Consult (online/in person)

Learn moreBook consult

Follow Up

Learn moreBook Follow-Up
WellNest

WellNest is a next-generation wellness and longevity clinic in Cape Town, combining advanced diagnostics, medical expertise and personalised wellness strategies to help you better understand, optimise and take control of your health.

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  • Dr. Ray Addinall
  • Steve Uria
  • Sr. Keashé Adams

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Find us
  • 183 Bree Street, Cape Town City Centre, Cape Town 8001, South Africa
  • +27 66 538 4856
  • hello@wellnest.gold
Hours
  • Mon–Thu06:00–19:00
  • Fri06:00–17:00
  • Sat08:00–12:00
  • SunClosed
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Safety, suitability & medical information

Medical weight management in Cape Town is a clinician-led, personalised approach that looks at metabolism, body composition, and lifestyle rather than the scale alone, so progress is sustainable.

This information is general and educational, here to help you make informed choices, and is not a substitute for personal medical advice. Our consults and services are personalised and are not right for everyone, and individual results vary. If you would like a clinician to review your goals, medical history, and suitability before starting, you can book a consult with our team. Medical content is overseen by Dr Raythaan Addinall, HPCSA-registered medical practitioner (MP0941263). Last reviewed: July 2026. Next review due: July 2027.

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