A medical programme rather than a diet. We test what is actually driving the weight, protect muscle while you lose fat, and build a maintenance plan before you reach the target.
Most men arriving here have lost the same fifteen kilograms two or three times already. The pattern is familiar. Aggressive restriction, rapid loss, muscle lost along with fat, then a return to normal eating and a regain that lands slightly higher than the start.
Each cycle makes the next one harder, because lost muscle lowers your daily energy requirement. That is why this programme is built around metabolic testing, protein intake and resistance training rather than around a calorie number alone.
We also look for what is working against you. Insulin resistance, an underactive thyroid, untreated sleep apnoea, low testosterone and certain medications all make weight loss disproportionately hard, and all of them are treatable. Dr. Ashutosh Shah checks for them at Elegance Clinic before any plan is written.
If diet and exercise alone have worked for you before and held, you may not need us. These are the situations where medical input changes the outcome.
Willpower is a small part of this. These are the mechanisms that make the same effort produce different results in different men.
Weight history, previous attempts, current eating pattern, work schedule, sleep, alcohol and medication. Measurements taken include weight, height, waist, blood pressure and body composition analysis.
A fasting sample covering sugar, insulin, thyroid, liver, kidney, lipids, testosterone and vitamin levels. A sleep study is arranged where snoring or daytime sleepiness suggests apnoea.
A written plan covering nutrition, training, sleep and any medical treatment needed, designed around your actual schedule. Targets are set for three and six months rather than a vague goal weight.
Body composition repeated and the plan adjusted. Early review matters because it catches the practical obstacles, travel, shift work, family meals, while they are still easy to design around.
Bloods repeated and progress assessed against the original numbers. If results have not moved despite genuine adherence, we investigate further rather than telling you to try harder.
Once the target is reached, intake is raised in stages, training continues, and reviews move to every three to six months for at least a year to hold the result.
Half a kilogram to one kilogram a week is the target. It sounds modest until you follow it for six months, at which point it becomes a change your family comments on and your blood results confirm.
Waist measurement and blood markers often improve before the scale moves much, which is genuinely encouraging in the early weeks. Fasting sugar, liver enzymes and triglycerides tend to respond fastest of all.
Maintenance is treated as a separate phase with its own plan, because the habits that produce loss are not the ones that hold it. Reviews continue at longer intervals for at least a year after you reach the target.
The programme is priced as an assessment first, covering the consultation, metabolic blood panel and body composition analysis. After that, cost depends on the length of programme you choose, the frequency of reviews and whether medication or treatment of an underlying condition such as thyroid disease or sleep apnoea is required. Medication, where indicated, is a recurring monthly cost and is quoted separately so you can decide with the figure in front of you. Nothing is added without being discussed first.
Every man gets the assessment and the training and nutrition framework. What is added on top depends on what the tests reveal.
Fasting sugar and HbA1c, insulin, thyroid function, liver and kidney function, lipids, testosterone, vitamin D and a full blood count, alongside body composition analysis. This establishes what you are actually dealing with rather than what you assume.
Ask about thisPortion structure for rice, rotis and dal, a protein source at every meal, and realistic handling of festivals, business dinners and travel. Plans that ignore how you actually eat in Surat get abandoned within a month, and we have stopped writing them.
Ask about thisTwo or three structured sessions a week, scaled to your joints and starting fitness. This is the part men most often skip and the part that decides whether the weight you lose is fat or muscle.
Ask about thisCorrecting thyroid function, treating sleep apnoea, managing prediabetes or addressing low testosterone. Where one of these is present and untreated, no amount of dietary effort produces proportionate results, which explains a lot of past frustration.
Ask about thisPrescription weight management medication is considered when body weight carries clear health risk or when structured effort has not worked. It is always combined with nutrition and training, monitored for side effects, and reviewed for value at three months.
Ask about thisFor men whose weight and associated conditions place them beyond what medical management can address, we arrange a surgical opinion and manage the medical side alongside it. Saying so honestly is better than years of programmes that were never going to be enough.
Ask about thisHonest answers about this procedure in Surat.
Ask a QuestionBecause appetite, insulin sensitivity, sleep, stress hormones and muscle mass all work together, and several of them shift against you with age. Cutting calories alone while losing muscle makes maintenance harder each time round. That is why this programme is built on metabolic testing, resistance training and protein rather than restriction.
Not always. Many men reach their target with structured nutrition, training and treatment of an underlying problem such as thyroid disease or sleep apnoea. Medication is considered when body weight carries genuine health risk, or when serious sustained effort has not produced results, and it is always combined with lifestyle work.
Roughly half a kilogram to one kilogram a week is sustainable and preserves muscle. Faster loss usually means losing lean tissue and water, and it tends to rebound. Over six months that adds up to a substantial and durable change, which beats a dramatic first month followed by a full regain.
Some loss is inevitable, but it can be minimised. Adequate protein at every meal, resistance training two or three times a week and avoiding very low calorie intakes all protect lean tissue. Body composition is measured at each review rather than relying on the scale, so it is clear what is actually going.
It contributes, and the relationship runs in both directions. Low levels make it harder to build and hold muscle, while abdominal fat lowers testosterone further. Hormones are checked as part of the initial assessment, and where they are genuinely low and symptomatic, treating them alongside the programme works better than either alone.
No, and plans that demand it rarely survive a month. The changes that matter are portion size of rice and rotis, adding a protein source to every meal, moving fried snacks and sweets from daily to occasional, and cutting sugary drinks. The food you grew up with stays on the table.
Weight, waist circumference, body composition and blood markers including fasting sugar, HbA1c, liver enzymes and lipids. Waist and blood results often improve before the scale moves much, which is genuinely encouraging when the number is being stubborn. Everything is recorded so the trend over months stays visible.
Maintenance is a separate phase and it needs a plan of its own, because the habits that produce loss are not the same as those that hold it. Calorie intake is raised carefully in stages, training continues, and review appointments carry on at longer intervals for at least a year.
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