9 months
Medical weight programme
Doctor-supervised, reviewed monthly. The most expensive thing Niira offers, and we say so.
You’ve been told to try harder.
Nobody’s checked why it isn’t working.
A doctor, the tests that explain your weight, and a programme only if one is warranted.
Start your assessment5–10%
Losing five to ten per cent of body weight does more for blood sugar than any supplement sold for it — and caught at the prediabetes stage, blood sugar can come back into normal range and stay there.
What we can treat here
If your sugars are the problem rather than the scale, start with prediabetes instead — same physiology, better evidence, and a doctor will tell you which one you’re at.
12 months
Prediabetes
Structured and doctor-supervised. Caught at this stage, blood sugar can come back into normal range and stay there.
What we’ll test
HbA1c
Fasting glucose and insulin
Thyroid (TSH, free T4)
Lipid profile
Liver function
Home sample collection
How long this actually takes
Nobody can shorten these. We’d rather you hear the real number now than in month four.
Week 0
Assessment and the metabolic panel, collected at home.
Week 1
A doctor reads the results with you and says whether treatment is warranted.
Month 3
First honest read on whether anything is moving.
Month 9
Review. Either you continue, taper, or stop.
What the evidence says
Structured lifestyle intervention reduced progression from prediabetes to diabetes in the Indian Diabetes Prevention Programme cohort.
Indian Diabetes Prevention Programme, Diabetologia (2006)The 2023 international PCOS guideline states that ultrasound is not necessary for diagnosis in adults when irregular cycles and clinical or biochemical hyperandrogenism are both present.
International Evidence-based Guideline for PCOS (2023), Monash UniversityQuestions about weight and metabolism
Possibly, possibly not. That is a decision a doctor makes with you after seeing your results, and it is not something we advertise or sell from a web page.
Then a doctor tells you that, explains what’s driving your weight, and you leave without a programme.
The programme fee, plus tests at cost, plus medicines if any are prescribed. All three are shown separately before you commit to anything.
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