A seating area in the WellNest Gold consulting lounge in Cape Town, with a round black table, armchairs and a tall palmA black kit bag with a rolled towel, a steel water bottle and a notebook on a wooden benchDr Raythaan Addinall standing in the WellNest Gold clinic in Cape Town
WellNest Gold
MembershipsCorporate Health
Book online or in person
CallWhatsAppBook

Metabolic health · Cape Town

Weight Loss and Body Composition Consultation

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

Book online or in personR3890 · 30 min
Long-term Weight LossImproved Muscle Mass
Cortisol & StressMenopause WeightSlow MetabolismLate Night Eating
Book online or in personR3890 · 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 online or in person

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

Metabolic markers

Bloodwork chosen for weight resistance

Dr Raythaan AddinallMedical Practitioner

Glucose
& insulin

3 markers

  • HbA1c

    Reflects your average blood sugar over roughly the previous two to three months.

  • Fasting glucose

    Your blood sugar level after fasting.

  • Fasting insulin

    Your insulin level after fasting, considered alongside blood sugar results.

Heart
& lipids

5 markers

  • Total cholesterol

    The total amount of cholesterol carried in your blood.

  • LDL-C

    Cholesterol carried by low-density lipoproteins, considered as part of your cardiovascular assessment.

  • HDL-C

    Cholesterol carried by high-density lipoproteins, which help transport cholesterol back to the liver.

  • Triglycerides

    A type of fat in your blood that your body uses for energy.

  • ApoB

    A protein on several cholesterol-carrying particles, used to help assess their number.

Thyroid
& hormones

5 markers

  • TSH

    A hormone from the pituitary gland that signals the thyroid to produce thyroid hormones.

  • Free T4

    Measures thyroxine (T4) that is not bound to blood proteins. It is interpreted alongside TSH to assess thyroid function.

  • Total testosterone

    The total amount of testosterone in your blood, including protein-bound and free hormone.

  • SHBG

    A protein that binds sex hormones and affects how much is freely available.

  • IGF-1

    A protein influenced by growth hormone, used to assess growth hormone activity.

Liver
& inflammation

4 markers

  • ALT

    An enzyme found mainly in the liver, measured as part of a liver assessment.

  • GGT

    An enzyme used alongside other tests to assess the liver and bile ducts.

  • hs-CRP

    Measures small amounts of a protein that rises with inflammation.

  • Ferritin

    Measures a protein that stores iron. Ferritin can also rise with inflammation, so it is interpreted alongside other results.

Calculated
ratios

No extra test cost

  • HOMA-IR

    A calculation using fasting glucose and insulin to estimate insulin resistance.

  • Triglyceride:HDL ratio

    A calculation comparing triglycerides with HDL cholesterol. It is interpreted alongside the rest of your lipid results.

  • Free androgen index

    A calculation comparing total testosterone with SHBG. It is an estimate, not a direct measurement of free testosterone.

+More

Reviewed in your consult

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

See all tests

Blood work is required 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 online or in person
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 online or in person

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 online or in person
A notebook, pen and stethoscope beside a laptop on a clinician’s desk

Consult fee

R3890

Session length

30 min

Intake

Sent ahead

Required

Blood work

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

Book online or in person

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

Baseline 360 Health & Longevity Assessment

Book nowLearn more about Baseline 360 Health & Longevity Assessment

Peptide Therapy Consultation

Hormone Optimisation Assessment

Iron Infusion Consultation

Lifestyle & Wellness Consultation

Targeted Supplement/IV Assessment

Concierge General Consult

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.

Site links

Consults

  • Baseline 360 Health & Longevity Assessment
  • Peptide Therapy Consultation
  • Hormone optimisation
  • Weight Loss and Body Composition Consultation
  • Iron Infusion Consultation
  • Lifestyle & Wellness Consultation
  • Targeted Supplement/IV Assessment
  • Concierge General Consult
  • Follow Up

Services

  • IV Therapy
  • InBody
  • Collagen Tan Can
  • Red Light Therapy
  • Gym
  • Sauna
  • Ice Bath

Explore

  • Memberships
  • Corporate Health
  • Tests
  • Blog
  • FAQs
  • Gallery

Company

  • Meet the team
  • Contact us
  • Careers
  • View brochure (opens in a new tab)

Find us

183 Bree Street, Cape Town City Centre, Cape Town 8001, South Africa (opens in a new tab)+27 66 538 4856hello@wellnest.gold

Hours

Mon–Fri06:00–18:00
Sat08:00–12:00
SunClosed
  • Waze (opens in a new tab)
  • Google Maps (opens in a new tab)
  • Google review (opens in a new tab)
About WellNest

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. Peptide therapy and prescription medication are dispensed only where clinically indicated, on prescription, after review by an HPCSA-registered physician. 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.

© 2026 WellNest. All rights reserved.

Terms of UsePrivacy Notice