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Weightloss Clinic

Weightloss Clinic

Weightloss Clinic
  • At Hans Place Practice, our goal is to help you feel your best self. We understand that feeling good comes from inside and out.
  • Your health, weight and appearance and wellbeing all play a huge part in this. If you are not happy with one of these areas, then it can significantly impact every other aspect of your life.
  • This is why we have carefully curated a program that uses medical expertise, psychological support, medically prescribed solutions as well as easy to follow diet and exercise advice to help you create a healthy lifestyle that lasts. It is not just about dieting, but about putting in place the tools and support you need to create sustainable healthy living so that you can look and feel amazing.
  • While long-term change comes from changing your approach to health, diet and exercise, we understand that it is the quick-wins, early results and goals reached that keep you motivated to reach and maintain a healthy weight.


With our doctor-led weight loss program, you’ll have one-to-one access with Dr Mike Comins. Dr Comins is an award-winning and highly regarded aesthetic medicine practitioner. His patient-first approach takes safety seriously while also making sure to truly understand the patient’s goals and concerns.

Dr Comins is best known for his advanced, minimally invasive aesthetic treatments. He was the first doctor in the whole of the UK to be trained in the highly effective technique of Hi-Def VASER liposuction. This is where Dr Comins can use liposculpture techniques to remove fat and enhance muscle definition and tone.

As a result, of his experience in creating highly desirable body aesthetics (from cellulite removal, abdo-sculpture and liposuction), Dr Comins knows how to get the results that people want – with or without aesthetic treatments.

As a highly qualified doctor, Dr Mike Comins MBBS MRCGP FBACD, is best-placed in using all of his expertise, experience, and patient focus to support you with a doctor-led weight loss program that really works.

Using his knowledge of body aesthetics, improving health and weight-loss prescription medication, Dr Comins will help you create program that is designed around you and your goals.

Whatever your goal – from losing fat, improving muscle tone, better contouring, feeling strong, toned or improving self-confidence and self-love – Dr Comins can take you through an effective program that offers real results.


Studies show just how effective doctor-led programs can be for both short-term and long-term results. Research continues to show that doctor-led supportive weight loss programs combining lifestyle modification with prescription medication ( such as weight loss injections) can be a very effective way to lose weight and maintain a healthy lifestyle with the best results.


Did you know that 95% of people who lose weight through dieting regain this weight within one to five years?

Weight loss is incredibly difficult. In the UK, almost half of Brits have tried to lose weight in the last year alone. Furthermore, two-thirds of Brits claim to be on a diet most of the time on their quest for the perfect body.

The fact that weight loss is so difficult causes people to be trapped in an endless cycle of  dieting and new exercise regimes, losing willpower, becoming disillusioned and putting the weight back on again. 

It's Not Just About Willpower

When embarking on a weight loss program, it is important to have the motivation to achieve your goal. Of course, willpower is vital to get you started. However, we know that losing weight with willpower alone can be a struggle. This is why we make our plans really easy to stick to thanks to the right diet, ideal exercises and the best medications. We’ll also explore genetic and hormonal causes for your weight, so you have the facts.

Don’t worry about your willpower; we’ll take care of it, by making a program you’ll want to stick to. All we ask is that you have the belief that you CAN lose weight. Even if you have tried and failed in the past, you can succeed, and, more importantly, you deserve to succeed.

Emotional Eating?

Research shows that people are more likely obese if they have suffered psychological distress. Emotional eating can cause weight gain in a variety of ways. For example, negative emotions can inhibit self-control which makes it harder for people to follow their self-imposed restrictions when it comes to food.

There may be many underlying root causes to emotional eating such as stress, financial concerns or trauma. However, food is used to help fill this feeling of emptiness. It can help to create a sense of fullness or wholeness to fill a void that may be present in life.

In cases like this, the root cause of weight gain may be far deeper in the mind than you might have imagined. The first step to help weight loss is to address your emotional needs head-on.

Why Choose A Doctor-Led Program?

One of the reasons why people struggle with weight loss is that they don’t know the best route for their personal needs. Everyone’s health and mentality are different, and what works for some may not work for others. With a doctor-led program at Hans Place Practice, Dr Comins and his team will spend time to really get to know you, your habits, lifestyle and health.

With this information, Dr Comins can create a perfectly tailored program that is easy to stick to and makes you feel good.

One of the reasons why people struggle with weight loss is that they don’t know the best route for their personal needs. Everyone’s health and mentality are different, and what works for some may not work for others. With a doctor-led program at Hans Place Practice, we will spend time to really get to know you, your habits, lifestyle and health.

Understanding The Science

While the premise of weight loss is simple; you need to expend more calories than you consume. This is much harder to adopt and practice in reality. The idea that all you need to do is count calories, and you should lose weight is problematic. It suggests that failing to lose weight is just a matter of weak willpower.

In reality, there are a lot of factors that affect how many calories each individual will get from the food and how they will affect their body. To get the full picture, there are three main effects to understand… 


For people excess weight and obesity, losing weight causes changes in the levels of hormones that affect appetite. After weight loss, your body will naturally try to gain back the weight you lost by making you feel hungrier, and by burning fewer calories. This means, while you are working hard to lose weight with diet and exercise, your body is working against you, undermining
your best efforts.

One if these hormones that tells your brain that you had enough food and are full. Sometimes   naturally produces an appetite hormone that helps to regulate your hunger levels. In overweight individuals, sometimes this hormone is much lower, making appetite regulation a constant battle.

Weight loss injections works precisely like this unique hormone, helping to regulate your appetite.



With a calorie-counting diet, you set yourself a calorie limit for the day and make sure you do not exceed this intake.

It requires using a food diary (there are many apps that can help you to record calories).

Then as long as your calorie intake is less than what you expend through exercise and day-to-day activities, you should begin to lose weight.

With this, it is important to ensure you are getting all of your nutrients and dietary needs within your controlled calorie limit.


A 5:2 diet means eating normally for five days a week. One the other two days of the week, you restrict your calorie intake to no more than 500 calories. For many people, this is easier to stick to as restricted eating is limited to a short period of 24 hours, rather than following a stricter calorie-controlled diet for months.

For the five days of ‘normal’ eating, you should still follow your recommended calorie intake. This does not allow for binge-eating or excessive eating when you are not fasting.

Intermittent fasting has shown to have a number of health benefits as well as weight loss. This includes cell repair, reduction in insulin levels and gene expression which can help to protect against disease.


A ketogenic diet focuses on high-fat and low carbohydrate. By limiting your carbohydrates and increasing your fat intake, you can put your body in a state called ketosis. Ketosis is when you begin to burn fat for energy.

This has shown to be effective for fat loss in the body. It can also help to control blood sugar and insulin levels too. Studies have also should that it can help against diabetes, certain cancers and Alzheimer’s Disease.


A paleo diet focuses on what we would have eaten as hunter-gatherers. This means focusing on nuts, seeds, fruit, fish, vegetables and meat. It limits ‘farmed foods’ such as grains and dairy. This means avoiding bread, refined sugar, potatoes, processed foods.

Studies have shown that this type of diet can help with appetite management, weight loss and glucose tolerance. However, with the absence of grains and legumes, it is important to make sure you are getting sufficient fibre, protein and calcium in your diet.


A plant-based or largely vegan diet (no animal products such as meat or dairy) has been shown to help weight loss. A recent study has found that those following a plant-based diet can lose four pounds more than a person following a diet with meat.

It is also seen to be a sustainable diet. A further study found that people who gave up meat are more likely to be following a healthy eating plan one year later.


For exercise to work, it is vital to find movement you enjoy and to be able to stick to it. As everyone is different, it may take a while to find an exercise program that suits you best. However, others find that a mix of different exercises helps to stave boredom and make working out more enjoyable.

The importance with exercise is to ensure you are working at a level that is right for you and your health. This is where having a doctor-led program can be invaluable as they’ll know where your limits are and what the best exercises are for your needs.

Cardio exercise is anything that helps to increase your heart rate, get your blood pumping and helps you to burn calories. Popular cardio includes running, cycling, ball sports, aerobics, swimming or walking. Any exercises that get you out of breath usually class at cardiovascular activities.

For example, 30 minutes of walking can burn 150 calories, while 30 minutes of swimming can burn 200 calories. This is a great way to create a calorie deficit by burning more calories than you eat.

Strength training is vital to increase your muscle tone while burning calories too. Strength training focuses on building lean muscle while burning fat too. You need muscle tone to give your body a refined appearance, making you tighter and leaner, which can really show your results when you are losing weight.

 Again, there are lots of ways to incorporate strength training into your workout – from lifting weights to Pilates. It is important to find the right one for you.

Your Questions Answered

The program begins with an initial consultation. This consultation can be a face-to-face appointment at our central London clinic. Alternatively, it can be a video medicine consultation via our virtual consultation suite.

Before your consultation with Dr Mike Comins, the clinic will request that you complete a new patient registration form. You will also receive a specific detailed weight loss medical history questionnaire. This is important to ensure your personalised weight loss program is tailored to your medical history.

Following your consultation, we will construct and tailor a weight loss program for you which will include dietary exercise advice. If you meet the criteria, we will often propose prescription medication and supplements to help you achieve your goals.

We will schedule and conduct regular follow-up appointments to help ensure your program is working and to discuss any issues you may have. Depending on your progress and satisfaction with the plan, we may modify your weight loss program accordingly.

Yes. Throughout the program, you will have access to a professional, qualified doctor, Dr Mike Comins.

He will only prescribe medications when it is safe to do so and will thoroughly outline any risks or potential side effects. He will also be on hand throughout your weight loss journey to check up on your health and will be available should you have any issues.

The plan will be uniquely tailored to your personal circumstances, health and lifestyle. What’s more, it is all-encompassing, covering diet, exercise, supplements and medication, where necessary. With full doctor support, regular check-ins and a tailored, easy-to-follow plan, we ensure you are on the road to success.

Studies have also shown that doctor-led weight loss programs are the most effective ways to lose weight.

To be eligible for the plan, you need to be at least 18 years old and interested in losing weight or learning more about a healthy diet and lifestyle. If you have certain medical conditions, then you may not be suitable for the program, but this will be discussed during your initial consultation.

Some aspects of the program may not be suitable for those who are pregnant or breastfeeding. Again, this will be discussed during your first consultation.

 Yes, we strongly advise you to keep your GP informed. With your consent, we will write to your GP and inform them of your program and any prescription medication that you are taking during your weight loss plan.

For optimal results and a healthy lifestyle, we recommend following the comprehensive weight loss plan, which will include diet and exercise advice as well as medication where necessary. Following a healthy eating plan and exercising regularly will not only contribute to your weight loss journey but help to improve your mood and wellbeing too.

We may recommend a blood test to check for thyroid dysfunction or diabetes. Your GP may have already completed these tests for you, If so, with your permission, we will request these results from your GP.

If we do recommend a test, these can be completed at home with a finger prick test or a urine test. We will be able to supply these to you if they are necessary.

As each personal weight loss journey is different, we cannot provide an estimate of the duration of the plan. The length of the plan may also depend on what your goals are and how much weight you want to lose.

During your initial consultation, Dr Mike Comins will discuss the program length with you.

Every patient is different, and the amount of weight you will lose will depend on what your goals are, your commitment to the program and lifestyle. We aim to provide an effective plan for you to achieve your goals, reach an ideal weight and create a sustainable healthy lifestyle which works for you.

If you are not wholly satisfied with the plan, then let Dr Mike Comins know, and he can adapt the program to suit your needs. Occasionally, plans do need adjusting the get the best results.

You will only receive prescription weight loss medication if you are eligible, and it is safe for you. The most common weight loss medications that Dr Mike Comins prescribes include Saxenda, Contrave, Alli and Xenical.

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