Weight Loss

If you need help achieving a healthy weight, turn to the consultants at Cleveland Clinic London. We offer personalised solutions that can improve the way you look and feel. Our comprehensive approach can also reduce the impact of obesity-related complications, like diabetes, helping you live a longer, healthier life.

The path to your ideal weight is as unique as you are. Experts at Cleveland Clinic London are here for you with weight loss plans that put your goals within reach. Even if other methods haven’t worked, we can help you succeed.

Highlights of our services include:

• Multidisciplinary approach: You have access to bariatric surgeons, endocrinologists, dietitians, psychologists and nurses who specialise in helping people lose weight. We work together to tailor a weight loss plan to your needs.
• Personalised care: We perform a comprehensive assessment to learn about your medical history and weight loss challenges. The team explains the lifestyle, medical or surgical options that may be right for you and how they work. We then tailor therapies to help give you the best chances for long-term weight loss.
• Medical weight loss: An endocrinologist with expertise in complex obesity guides nonsurgical weight loss services. Our team actively participates in research that gives you access to new medications before they’re widely available.
• Bariatric surgery: Cleveland Clinic London is home to some of the U.K.’s leading bariatric surgeons. They offer a depth of experience in keyhole (laparoscopic) surgery, which uses small incisions for a quicker recovery. You can choose from several options, including gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass (RYGB) and mini bypass (anastomosis gastric bypass). Explore bariatric surgery.
• Nonsurgical procedures: You may have other nonsurgical options, including several gastric balloon procedures or endoscopic procedures.
• Holistic approach: We help you lose weight and treat obesity-related complications that may be standing in your way. These efforts include managing chronic conditions, such as diabetes, heart disease and sleep apnoea. The team coordinates services with additional Cleveland Clinic London consultants in many specialties whenever necessary.

You undergo a thorough evaluation that helps us learn more about your health, diet and lifestyle. We may recommend blood tests to detect metabolic disease or other issues that can make losing weight more difficult. Care may also include a psychological assessment to check for anxiety or depression.

We typically see new patients within a week. You may be eligible for a virtual consultation if you don’t live in the London area. We also help coordinate travel for international patients through Global Patient Services. 

Are Weight Loss Services Right for Me?

You may benefit from a personalised weight loss plan if you have a body mass index (BMI) greater than 30. It’s also for people with a BMI of 27 who have obesity-related complications, such as:

• Type 2 diabetes.
• Digestive problems, like oesophageal reflux (GERD).
• Fatty liver disease.
• Heart and vascular disease.
• Inflammatory conditions such as psoriasis.
• Obstructive sleep apnoea and other respiratory disorders.
• Osteoarthritis and back problems.

Medical Weight Loss Services

Our services help redefine your relationship with food and give you the support you need to adopt healthy habits for life.

Medical weight loss services at Cleveland Clinic London include:

Weight management and nutrition service

Achieving long-term weight loss requires a comprehensive service that addresses the many factors contributing to obesity. We get to know you as an individual and carefully consider your needs and preferences.

Our team works with you to develop your personalised service, which may include:

• Diet recommendations: Eating small portions and getting the necessary nutrients can help you feel your best.
• Education: Learn how to fit healthy choices into your busy schedule.
• Exercise plan: Become more physically active, and choose an exercise form you enjoy, so it will be easier to stick with long-term.
• Mental health support: Changing your emotional and psychological perspective on food can help you achieve your long-term goals.
• Medications: We may prescribe medications that make it easier to control cravings.

We can signpost you to digital weight management apps that can help get the most out of your service. They provide extra support to address lifestyle, physical activity, sleep and other factors to optimise your weight loss journey. The app also provides specialised support to help manage diabetes.

Weight loss medication

Weight loss medication can enhance the results of your personalised, nonsurgical weight management service. We offer novel medications that control appetite and promote feelings of fullness. We monitor your progress, gradually increasing the dose to help you achieve the best possible results and manage side effects.

Nonsurgical Weight Loss Care

At Cleveland Clinic London, we also offer a variety of non-surgical methods for treatment of obesity.

Those options include a procedure without the need for an endoscopic (down your throat) and another one especially designed for patients with Type 2 diabetes.

Below are some of the nonsurgical services we offer:

Elipse gastric balloon

This nonsurgical gastric balloon weight loss treatment also requires no anaesthesia or endoscopy — and takes just 15 minutes to complete. You can expect to lose from 10-20 kg in four months through this safe and effective treatment. We’ll follow-up with a 6-month weight loss programme that includes a healthy diet and regular exercise.

First, you’ll swallow a small capsule containing the Elipse balloon, which is attached to a tube. You’ll then get an X-ray to be sure the balloon is in the correct position. We then fill the balloon through the tube with purified water and then remove the tube.

A full balloon will give you the sensation of fullness in the stomach, which makes it easier to adjust to smaller portion sizes as part of a weight loss programme. And there is no removal process – you’ll naturally pass the balloon through your body four months after insertion.

The balloon helps to set up longer-term weight loss success, supporting you in the earliest stage so that you can see and be encouraged by positive results. We’ll also help you learn healthy eating habits to enable you to continue your progress after the balloon has gone.

Orbera gastric balloon

If you have a Body Mass Index (BMI) over 27 and have not been able to achieve weight loss through diet or other methods, the Orbera365™ gastric balloon could be an effective solution. You can expect to lose about 20kg over six months with this procedure.

You could also be considered for this balloon if you have a BMI of 35 to 40, but don’t want to undergo surgery — or if you need to lose some weight before undergoing weight loss surgery. You might be also a candidate for this gastric balloon if you’re being prepared for orthopaedic, cardiac or other surgery and need to lose weight in advance.

In this procedure, your doctor will insert a gastric balloon device through your mouth and into your stomach. We’ll then fill the balloon with saline fluid, reducing stomach capacity. This will produce a feeling of fullness after eating small portions of food, helping you learn to eat less and to choose better foods.

You’ll be mildly sedated and the procedure should take about 30 minutes. You’ll recover quickly and you won’t have any incisions or scars — and no overnight hospital stay.

The balloon will remain in your stomach for about six months, when your doctor will remove it. Your consultant will then talk with you about any further treatment.

Spatz3 adjustable balloon 

The Spatz3 gastric balloon is a good solution if you have a BMI over 27 and you haven’t been able to achieve weight loss through diet or other methods.

This balloon can be expanded to boost weight loss when your body gets used to it — or actually reduced in size to make it easier to tolerate. You can also use this saline-filled balloon for up to one year, longer than other types of gastric balloons.

You can expect an average weight loss of 16kg after six months — or 25kg after 12 months when used in conjunction with diet, exercise and a change in lifestyle.

You’ll be mildly sedated as your consultant inserts the Spatz3 balloon through your mouth and into your stomach. Again, you won’t have to stay at hospital. This balloon may take up to a third of your stomach volume, helping you to eat less and feel fuller longer.

The balloon will remain in your stomach for about six months, when your doctor will remove it. Your consultant will then talk with you about any further treatment.

You could also be considered for this if you have a BMI of 35 to 40, but don’t want to undergo surgery or need an initial weight loss step before undergoing weight loss surgery. And you might be also a candidate for this gastric balloon if you’re being prepared for orthopaedic, cardiac or other surgery and need to lose weight in advance.

Endoscopic sleeve gastrectomy

We don’t use a balloon for an endoscopic sleeve gastrectomy (ESG) procedure — but it’s also less invasive than surgery. The National Institute for Health and Care Excellence (NICE) approved this procedure in 2024 in the UK for people with a BMI between 35 to 40.

In this procedure, your surgeon inserts a thin, flexible tube with a camera attached to the end, called an endoscope — and then a small suturing device to stitch your stomach to make it smaller. This will reduce the amount of food the stomach can hold.

You won’t have any incisions after this innovative, minimally invasive procedure, which has fewer complications than traditional surgery. You’ll also be mildly sedated and won’t have to stay in hospital overnight.

You could have significant weight loss with this procedure – up to 60% of excess weight – but it’s also reversible. Your stitches can simply be removed, so the procedure can be undone if you’re not happy with the results. ESG can lead to other health benefits, from lowering blood pressure and cholesterol to improving arthritis, sleep apnoea and energy levels.

This is a new procedure and Cleveland Clinic London’s consultants are leading the way in its development. So we can advise on the benefits, risks and potential complications.

Endoscopic sleeve gastroplasty 

Similar to endoscopic sleeve gastrectomy, this procedure is nonsurgical and performed by your consultant with an endoscopic device inserted through your mouth into your stomach — but in this case, your surgeon will alter your stomach from a pouch shape to a sleeve shape. This also reduces the size of the stomach, helping you feel full and satisfied after consuming fewer calories.

This procedure is appropriate for patients with a BMI over 30 and is increasingly popular as it is minimally invasive, with no external cuts or scars. It is also reversible, recovery is quicker than from surgery and most patients do not require an overnight hospital stay.

Duodenal mucosal resurfacing (DMR)

If you have Type 2 Diabetes, this new endoscopic treatment might be for you. The DMR procedure targets the duodenum (part of the small intestine), which often isn’t working right if you have Type 2 Diabetes. Cleveland Clinic London is the only hospital in the world offering this treatment both clinically and in various research studies.

Your consultant will insert an endoscope along with a thin flexible tube filled with hot water to heat and remove the thickened duodenum lining. Your body will then build its own healthy lining, called a mucosal layer. This will then help to control diabetes by controlling blood glucose and insulin resistance more effectively.

You will be under general anaesthesia during this procedure but will likely leave hospital the same day. Following the procedure, you’ll follow a careful diet plan enables the duodenum to heal, after which you can start on a normal healthy diet.

Learn More About Weight Loss Services

Contact us or call +44 20 3423 7500 for more information about medical weight loss.

We make it easier to access expert care in the U.K. Read more about payment information, including options for self-pay and private medical insurance.