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
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Metabolic health · Cape Town

Weight Loss and Body Composition Consultation

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

Book online or in clinicView pricing
Long-term Weight LossImproved Muscle Mass
Cortisol & StressMenopause WeightSlow MetabolismLate Night Eating
Book online or in clinicView pricing

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 clinic

The following details describe the in-clinic metabolic consultation. The online consultation is 15 minutes; choose your format when booking.

Getting started is simple

  1. 01

    Book your slot

    Online 15 min · In clinic 30 min, with your intake form sent ahead.

    Consultation preview183 Bree StreetOnline 15 min · In clinic 30 min
    ChooseYour timeIn clinic

    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

The blood tests

Bloodwork chosen for weight resistance.

Panel chosen by Dr Raythaan AddinallMedical Practitioner

Glucose & insulin

3 tests

  • HbA1c
  • Fasting glucose
  • Fasting insulin

Heart & lipids

5 tests

  • Total cholesterol
  • LDL-C
  • HDL-C
  • Triglycerides
  • ApoB

Thyroid & hormones

5 tests

  • TSH
  • Free T4
  • Total testosterone
  • SHBG
  • IGF-1

Liver & inflammation

4 tests

  • ALT
  • GGT
  • hs-CRP
  • Ferritin

Calculated ratios

No extra test cost

  • HOMA-IR
  • Triglyceride:HDL ratio
  • Free androgen index

Blood work is optional for online and in-clinic consultations, but highly recommended. Your doctor reviews any available results with you and may recommend tests after clinical review if indicated.

View all details and price

Tested with trusted South African labs

  • PathCare
  • Lancet Laboratories
  • Ampath Laboratories

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 clinic
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 clinic

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

Online 15 min · In clinic 30 min. 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 clinic
A notebook, pen and stethoscope beside a laptop on a clinician’s desk

Online

15 min · R550

In clinic

30 min · R1,200

Blood tests

Optional · Highly recommended

Consultation focus

Review your weight-management options

Blood tests may still be needed before treatment. Laboratory charges are separate.

Book online or in clinic

How it works

Metabolic care, explained

Science

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

Protocol

A doctor-led session (Online 15 min · In clinic 30 min), prepared with time set aside for your profile.

Support

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

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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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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
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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.

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