Questions to ask in a weight-management consultation

Write down your height and weight history, past attempts at weight loss and how you felt, medicines and supplements you take, any history of gallstones, pancreatitis, eating disorders or thyroid disease, and whether you are planning pregnancy. Note what matters most to you. For some people it is blood sugar, for others joints, fertility, energy or mood. This helps the clinician tailor advice and prevents the conversation being only about numbers.

• Are there medical reasons for my weight that should be checked, such as thyroid, sleep or medicines?

• What are my risks from my current weight and what are the chances they will improve?

• Which blood tests or checks do I need?

• Do I qualify for NHS support, and if not, why not?

• How does my ethnic background affect the thresholds that apply?

• What are all my options, including support without medication?

• What would you recommend for me, and why?

• What results are realistic, and how will we measure success?

• What are the common and serious side effects, and how are they managed?

• Is this use within the licence of the medicine?

• How does this interact with my other medicines or conditions?

• How often will I be reviewed, and by whom?

• Who do I contact between appointments?

• What would make us stop treatment?

• What happens if I need to stop because of side effects or cost?

• Will you share information with my GP?

In a private setting it is reasonable to ask about the prescriber's registration, whether the service is registered with the Care Quality Commission or equivalent, what is included in the fee, how much follow-up costs and what happens if the service closes or you cannot continue. Ask whether a dietitian or psychologist is available. Be cautious about any service that will not answer clearly.

You should feel listened to, not blamed. The clinician should explain things in plain language, give you written information and check you understand. They should be willing to say when a treatment is not right for you, and should not rush you to commit. If you feel dismissed or pressured, you can ask for a second opinion.

Ask for a written summary or a letter. Note the next review date, the name of the person to contact and any tests to book. If you are unsure about something you agreed, send a brief message to the practice or service to confirm it rather than waiting for the next appointment. Keeping your own record of weight, blood pressure and medicines also makes later appointments more productive.