Weight is rarely just about discipline. Metabolism, sleep, medications and your own daily routine all play a role. That’s why we first look at where you stand before we talk about measures. At NOE clinics in Hamburg, we combine both sides: the medical assessment and support in everyday life.
The Nutritional counseling is the foundation. Not a standard program, but a plan that you stick to because it fits your life. If nutrition and exercise alone aren't enough and there is a medical indication, a GLP-1 therapy can be a useful component. These medications are prescription-only and belong in a doctor’s hands, not as a quick fix without an indication.
The best results come from a combination of both approaches. The injection reduces the feeling of hunger, while counseling ensures that the results last beyond the therapy. We will discuss what is appropriate in your case during the initial consultation, honestly and without making any promises that we cannot keep.
IV infusions and lab checks – with an accredited specialist laboratory
¹ Billing according to the German Medical Fee Regulations (GOÄ).
The Weight-loss injection uses an active ingredient from the GLP-1 analogue group. It affects appetite and the feeling of being full, allowing food intake to be reduced more easily. The application is done weekly, usually by self-injection, and is closely monitored by a physician.
Before starting the treatment, an initial examination is performed to record medical history and laboratory values. The dose is gradually increased to minimize any potential side effects such as nausea. Regular check-ups ensure that the therapy is safe and effective and the dosage is adjusted accordingly.
Whether medication support is advisable depends on your individual situation and medical history. Therapy is not suitable, among other things, during pregnancy and breastfeeding, as well as in the case of certain pre-existing conditions. We will discuss this openly and without pressure during the initial consultation.
The medication works most sustainably in combination with an adapted diet. Accompanying nutrition counseling helps you build new habits and maintain what you’ve achieved, even when the therapy ends at some point. The goal is not the fastest success, but lasting success.
Dr. med. Nora Bilir is a specialist in internal medicine with the additional qualification of nutritional medicine and specialization in minimally invasive aesthetic medicine and laser medicine. She is the founder and medical director of the NOE clinics in Hamburg. She has been practicing medicine since receiving her license to practice in 2014 and has performed more than 20,000 aesthetic treatments in over ten years. She received her doctorate in 2017 at the University of Hamburg (UKE) and is a member of the German Society for Internal Medicine (DGIM) and the German Society for Aesthetic Botulinum Toxin Therapy (DGBT). As a trainer and lecturer, she also trains physicians on behalf of an internationally leading manufacturer of aesthetic injection preparations.
On this page, she has verified the accuracy of all the medical information about wrinkle treatment with botulinum toxin – from its mechanism of action to the procedure, as well as the risks and duration of effect.
It means that weight loss is considered not only in terms of diet and exercise, but also metabolism, lab values, pre-existing conditions and medications. The medical assessment comes first.
No. The Nutritional counseling is the foundation. GLP-1 therapy is only an option if there is a medical indication.
Yes, and most of the time that is the most sustainable way. The injection reduces the feeling of hunger, and the counseling ensures that the results last even after the therapy ends.
No. GLP-1 medications are prescription-only in Germany. Before prescribing them, we assess whether the therapy is medically appropriate for you.
That depends on whether it’s just counseling or also medication. You can find the individual items in the Price overview, and we’ll discuss transparently what applies to you after the assessment.
Not for cosmetic weight loss, not during pregnancy and breastfeeding, and not in the case of certain pre-existing conditions. We will check this in advance.
A permanent change takes time. The first effects of GLP-1 therapy often appear within the first few weeks; the process of building up the effect takes several months. We will support you throughout the process.
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