You have not changed what you eat. You have not stopped moving. But something has changed and for the first time, your body is not responding the way it used to. What if the answer is not another diet, but understanding what your hormones are actually doing?
Consultant Gynaecologist · Sheba CMO
You do not need to have a diagnosis. You just need to be ready to ask a better question than "why can I not lose weight?"
A short online assessment about your symptoms, your history, and what you have noticed about your body. It takes three minutes. There is no cost.
A consultant gynaecologist reviews your case, not just your weight, but your hormonal health, your metabolic function, and what might be driving the changes you are experiencing.
If treatment is appropriate, your specialist creates a personalised plan. Medication delivered to your door. Ongoing support. No more guessing.
"So many women come to me saying the weight appeared from nowhere. It did not come from nowhere. It came from a hormonal shift that nobody explained to them."
Consultant Gynaecologist · Sheba Clinical Lead · GMC Registered · 15+ years specialist experience
Around your late thirties and into your forties, your hormones begin to shift, sometimes dramatically. Here is what that does to your body, and why nobody told you.
Oestrogen regulates where fat is stored, how fast your metabolism runs, and how well you sleep. As it drops often years before your periods stop, fat shifts to the abdomen, your metabolic rate slows, and broken sleep raises cortisol, which drives further weight gain.
Declining oestrogen makes your cells less responsive to insulin. Your body produces more, which drives fat storage, particularly around the middle. This is why the weight feels different to anything you have experienced before. It is not the same weight. It is metabolically different.
This is perimenopause. It is not a failure. It is a hormonal transition — and it is treatable when someone understands it.
Your specialist will recommend the right treatment for your condition. Your monthly cost adjusts with your dose as you titrate.
All prices include medication, delivery, your monthly clinical review, and unlimited messaging. No separate consultation fees. Your titration schedule is set by your consultant.
Very possibly. Perimenopause can begin in your late thirties or early forties — often years before your periods change noticeably. Declining oestrogen shifts fat storage, slows metabolism, disrupts sleep, and changes appetite signalling. If you are gaining weight without changing your habits, hormonal change is the most likely explanation.
Yes. You do not need a diagnosis to start. The assessment and specialist review will help determine whether a hormonal factor is involved. Many women come to Sheba without knowing what is causing their weight gain — that is exactly what the specialist assessment is for.
No. Sheba is a private specialist service. You go directly to a consultant gynaecologist — no referral, no letter, no waiting.
A short online questionnaire about your health, your symptoms, and what you have noticed changing. It takes about five minutes. There is no cost and no obligation. Your answers help the specialist understand what might be going on before they review your case.
The assessment is free. If your specialist recommends treatment, pricing starts from £66/month (Wegovy) or £145/month (Mounjaro). All prices include medication, delivery, and unlimited clinician messaging. No hidden fees.
Yes. Month-to-month, no contract. Cancel before your next prescription and you will not be charged.
A five-minute assessment. A specialist who has seen this before. And finally, an explanation that makes sense.
Start Your Free AssessmentReviewed by a consultant gynaecologist before any prescription is issued.