Diet and willpower were not the missing piece. Medication that actually changes appetite signalling was. At Angsana Medical, Dr Dhivian designs a personalised programme around HSA approved GLP1 medication, dietician input, and the kind of followup that makes results stick. Same doctor every visit.
Most patients who walk in for weight loss have already tried five things. Gym, diets, fasting, coaches, apps. The thing that finally moved the needle for them was medication that quietened the food noise, paired with a doctor who actually paid attention. GLP1 medications work. They are not magic. Used properly inside a programme, they are one of the most effective tools modern medicine has for chronic weight management.
My training spans polyclinics, private GP practice, NUH Children's Urgent Care, emergency departments and hospital wards. I also serve as an Adjunct Tutor for the College of Family Physicians Singapore (GDFM and MMed Family Medicine programmes).
I see the same handful of stories from professionals who walk in for medical weight loss. If any of these are yours, you are not making it up and you are not lazy.
You lost ten kilos on something a few years ago. Within twelve months almost all of it came back. The next diet did the same thing, just faster. Your body is not broken. Long term sustained weight loss without medical support is genuinely rare, and the data agrees with you.
You looked at a photo from a few years ago recently and felt a small jolt of not recognising yourself. The clothes that used to fit are folded in the bottom of a drawer. You are not vain for noticing. You are paying attention.
Your last health screening flagged you for prediabetes or raised cholesterol. The doctor said lose weight and left you to figure it out. Nobody told you what changes actually move those numbers, in what order, with what tools.
You have been training hard at the gym and the scale has barely moved. You cannot outrun a bad diet, and a bad diet is often not really about willpower. It is about appetite signals that medication can actually quieten.
You have seen friends doing Ozempic from sources you would not trust. You want this done by a real doctor with real pharmacy dispensed medication, not a discount injection from a back room. That instinct is correct.
The voice that says you should be able to fix this with willpower has been wrong for years. It is not honest with you about how chronic weight management actually works. It is also not your friend.
A proper programme, not a prescription handed over in five minutes. Designed for working adults who want a clinically sound result without rearranging their lives.
Forty five minutes with Dr Dhivian. Medical history, current medications, weight history, eligibility against MOH criteria. No pressure to commit.
Fasting glucose, HbA1c, lipid panel, liver and kidney function, thyroid. So we know what we are actually working with.
Medication choice, dose titration schedule, diet anchors, sleep and activity guidance. Written so you can refer back to it.
One on one with our dietician. Practical, not preachy. Designed around your work, your travel, your weekends.
HSA approved medication only. Filled at a licensed pharmacy. Sealed packaging, traceable batch.
Followup consultations across the programme. Phone access for side effect questions. Bloods rechecked at the right milestones.
Each medication has different evidence, different side effect profiles, and different cost. Dr Dhivian walks you through the trade offs before anything is prescribed.
| Medication | How it is taken | What the evidence shows |
|---|---|---|
| Saxenda (liraglutide) | Daily injection | HSA approved for weight loss. Over ten years of safety data. Modest dose, gentler entry point for some patients. |
| Wegovy (semaglutide) | Weekly injection | HSA approved for weight loss and cardiovascular risk reduction. Strong trial data on body weight reduction. |
| Mounjaro (tirzepatide) | Weekly injection | HSA approved for weight loss with BMI criteria. Dual GIP and GLP1 action. Highest body weight reduction in head to head data so far. |
Eligibility depends on BMI and comorbidities under MOH guidelines. We confirm both at your consultation. We do not prescribe compounded or non HSA approved versions.
Singapore MOH guidance generally supports GLP1 medication for weight loss in adults with BMI of 30 or more, or BMI of 27 to 30 with a related condition such as prediabetes, type 2 diabetes, hypertension or sleep apnoea. We confirm your eligibility at the initial consultation.
No. GLP1 medication is a clinical tool, not a life sentence. Most patients are on the medication for six to twelve months while building habits that sustain the result. We then transition to a maintenance phase or taper off where appropriate.
Published trial data shows average body weight reduction in the range of twelve to twenty two percent depending on the medication and how closely the patient follows the programme. Individual results vary. We set realistic expectations at the start.
The most common side effects are gastrointestinal, especially in the first week or two after a dose increase. We titrate the dose slowly so the body adapts. Most patients work through the programme without disruption.
The programme cost varies depending on the medication you and Dr Dhivian decide on, and the duration. We explain the full cost transparently at your initial consultation, before you commit to anything. Medication is paid separately at the pharmacy.
Yes, by a long margin. Compounded and grey market GLP1 medication has documented safety risks including incorrect dosing, contamination, and counterfeit product. We prescribe only HSA approved, pharmacy dispensed medication with traceable batch numbers.
Telehealth is faster and cheaper. It also has no continuity. The same doctor monitors your bloods, adjusts your dose, and manages side effects across the programme. That continuity is the part that actually keeps you on track.
Book a weight loss consultation with Dr Dhivian at Angsana Medical. We will run the eligibility check, talk through the programme, and answer every question before any medication is prescribed. The clinic will call you within 24 hours.
