Weight, strength & metabolic health

1. Assessment

   Discuss your priorities, previous experiences, medicines, nutrition and movement limitations privately and respectfully.

2. Your plan

   Choose meaningful goals and an appropriate level of activity with your clinical team.

3. Supported practice

   Build achievable movement and eating routines, adapting to discomfort, energy and treatment changes.

4. Review

   Look at capability and wellbeing as well as weight, and adjust support accordingly.

Your clinician chooses measures relevant to your goals. Examples may include:

• Strength and practical tasks, such as stairs or chair rises
• Walking tolerance, pain and confidence with movement
• Weight or waist trends when appropriate, considered alongside function and wellbeing

• Treating physician or endocrinologist
• Coach for everyday goals and follow-through
• Physiotherapist or qualified exercise professional
• Dietitian
• Psychologist or surgical team when indicated

Your centre confirms which professionals are involved and how you will meet.

Your coach helps turn the agreed plan into everyday action: manageable goals, workable routines and conversations about what is getting in the way. You agree how to stay in touch and bring questions back to the care team. Medical decisions remain with your clinician.

Money worries can be part of the wellbeing conversation, including care costs, household responsibilities and pressures at work. Your coach can help you organise priorities and explore practical money habits. This is financial wellbeing education, not advice on financial products.

If you are preparing for bariatric or another operation, your surgical team sets the preparation and activity limits. Following discharge, any programme must follow the recovery and nutrition instructions you receive. Support can then focus on rebuilding daily capacity at a suitable pace.