First line
Metformin
Improves how your body responds to insulin and lowers blood sugar. Decades of evidence, well understood, and still the starting point for most men.
Read the guide →Men's metabolic health
Weight & metabolic health
The waistline, the blood pressure and the blood sugar usually move together, and you won't feel any of them changing. Here's what's really going on underneath, and what a doctor can do while it's still easy to treat.
1 in 4
Adults affected
5–10%
Weight loss that counts
45 min
Private consult
TH·EN·ZH
Spoken here
Medically reviewed by Dr. Noppon Arunkajohnsak (Win)
MOPH-licensed clinic
4.6 from 158 Google reviews
92% five-star ratings
Private & confidential
Signs
Weight that settles around the middle
A waistline creeping up year on year
Energy dips after meals
Rising blood pressure or sugar at checkups
Snoring and unrefreshing sleep
Common causes
Insulin resistance, the engine behind it
Belly fat and low testosterone feeding each other
Desk work and long sitting hours
Eating out, alcohol and late nights
Genetics and family history of diabetes
When to see a doctor
A checkup flagged sugar, pressure or cholesterol
Your waist keeps growing even when weight is stable
Diabetes or heart disease runs in your family
Diets work, then the weight comes back
You want numbers, not another opinion
Understanding the condition
It's insulin resistance, and it's measurable
A growing waist isn't just cosmetic. Fat around the organs is hormonally active: it pushes the body towards insulin resistance, which quietly drags blood sugar, blood pressure and cholesterol in the wrong direction at the same time. Doctors call that cluster metabolic syndrome.
In men it cuts both ways. Belly fat lowers testosterone, and low testosterone makes it easier to gain belly fat. That loop is one reason weight that came off easily at 30 refuses to move at 45.
The encouraging part: caught early, this responds well to treatment. Losing 5–10% of body weight measurably improves blood sugar, blood pressure and cholesterol, and prediabetes can often be turned around before it becomes diabetes.
No one feels prediabetes, and that's the trap. The men who stay ahead of diabetes are the ones who tested while they still felt fine.
Our solutions for weight & metabolic health
Options, matched to your numbers
We test first, then treat what the results actually show. Medication earns its place alongside food and movement, never instead of them. Each option links to the full guide.
For weight loss
Orlistat
Blocks around a third of the fat you eat from being absorbed. Works with a structured food plan, and only with one.
Read the guide →If it's prediabetes
Metformin, started early
Long-term studies show it lowers the risk of prediabetes progressing to type 2 diabetes when combined with lifestyle change.
Read the guide →Your journey
What happens when you come in
1. Private consult
45 minutes, one to one, no judgment. Weight, waist, blood pressure and history, plus everything you've already tried.
2. Metabolic blood panel
Fasting glucose, HbA1c, cholesterol, liver enzymes and hormones, so the plan is built on data, not a guess.
3. Your plan
Food, movement and, where your results justify it, medication. Honest options explained plainly. You decide, never pressured.
4. Same doctor follow up
Repeat bloods at 3 and 6 months with the doctor who saw you, so you watch the numbers move. No hand offs, no commissions.
Meet the doctors
Who you'll see
Young, specialized and highly experienced, trained internationally. The same doctor from consult to follow-up.
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What our patients say
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Book your consultation today.
Health checkups
“The range of blood tests included in their checkup is impressive. Hormone panel, metabolic markers, prostate health, liver function, cholesterol breakdown. Dr. Win walked me through every number. Very thorough.”
François Dubois · Verified patient review
Learn more about men's health
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Metabolic health
Metformin in Thailand: What It Is and How to Get It
Weight management
Orlistat: How It Works and What to Expect
Frequently asked questions
How do I know if it's metabolic syndrome and not just a bit of weight?
It's a checklist, not a feeling: a large waist plus raised blood pressure, blood sugar or triglycerides, or low HDL cholesterol. Three of the five and it's metabolic syndrome. One fasting blood panel and a tape measure settle it in a single visit.
I feel fine. Do I really need the tests?
That's the catch with this condition: prediabetes, high cholesterol and early high blood pressure have no symptoms you'd notice. If your waist is growing, or diabetes and heart disease run in your family, testing is the only way to know where you stand.
Can a pill do it without the diet and exercise?
Honestly, no. Metformin and orlistat both work, but they work alongside changes to food and movement, not instead of them. Your doctor will tell you what each option can and can't do before you start anything.
How fast do the numbers improve?
Blood pressure and fasting sugar can shift within weeks of losing weight. HbA1c reflects your average sugar over about three months, so retesting earlier tells you little. Most plans recheck bloods at three months, then six.
I've lost weight before and it came back. What's different here?
Willpower alone was never the problem. We look for what's underneath: insulin resistance, sometimes low testosterone, sleep and medication factors, then build a plan around your results with follow-up bloods, so the plan gets adjusted rather than abandoned.
Turn the numbers around early
Turn the numbers
around early
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