Obesity and weight management
Doctor-led obesity care in Nagpur with a SCOPE-certified consultant: diet and activity plans, medicines when appropriate, and tracking.
Medically reviewed by Dr. Ajay V. Kaduskar · Last reviewed 24 October 2026
Obesity is a long-term medical condition, not a lack of willpower. Genes, hormones, sleep, stress, medicines, work patterns and the food around us all play a part. Excess body fat, especially around the abdomen, raises the risk of type 2 diabetes, high blood pressure, fatty liver, sleep apnoea, joint pain, PCOS, heart disease and some cancers.
At Niramay Clinics, weight management is led by Dr. Ajay V. Kaduskar, who holds SCOPE certification in obesity management from the World Obesity Federation. The focus is on health, not a number on the scale: lowering harmful fat, protecting muscle, and improving sugar, blood pressure, liver health and energy.
How obesity is measured in Indians
Indians tend to carry more fat, especially abdominal fat, at a lower body weight. Indian guidelines therefore use lower cut-offs than Western charts:
- Body mass index (BMI): 23 to 24.9 is overweight; 25 and above is obesity
- Waist: 90 cm or more in men, 80 cm or more in women indicates abdominal obesity, which carries the most risk
- Body composition analysis adds detail: fat percentage, visceral (deep abdominal) fat and muscle mass
Our approach, step by step
- Find the cause. History, medicines, sleep, eating pattern and tests for thyroid, hormones, sugar and other contributors. Finding the reason matters before starting treatment.
- Measure what matters. Weight, waist, blood pressure, sugar, cholesterol, liver tests and body composition.
- Set realistic goals. Losing 5% to 10% of body weight improves sugar, blood pressure and liver fat for many people. Goals are agreed together.
- Nutrition plan with our nutritionist, based on your food and routine.
- Activity plan that you can actually start, including strength exercise to protect muscle.
- Medicines, when appropriate. For some people, approved medicines for weight management are added under supervision.
- Referral for bariatric (weight-loss) surgery when it is the right option, and care before and after surgery.
- Regular follow-up with body composition tracking, so we know whether weight lost is fat or muscle.
A note on surgery and teenagers. Weight-loss (bariatric) surgery is not done at our clinic; when it is the right option we refer and coordinate care. Teenagers with weight concerns are usually seen together with Dr. Prajakta so that growth, hormones and emotional health are covered.
Explore
Medicines for weight management · Body composition and sarcopenia assessment · Nutrition and lifestyle counselling · Prediabetes and risk assessment
When to see a doctor
See a doctor soon if your weight is rising steadily without a clear reason, you feel unusually tired or thirsty, you snore loudly or stop breathing during sleep, your periods have become irregular, or a child is gaining weight faster than expected. These can point to a medical cause that needs checking.
Frequently asked questions
Weight is affected by more than calories: sleep, stress hormones, some medicines, thyroid function, muscle mass and past dieting all play a role. A medical assessment helps find what is working against you.
For most people, about 0.5 to 1 kg per week is a safe pace. Faster loss often includes muscle loss and is harder to maintain.
Yes. Teenagers are seen at Blooming Buds by Dr. Prajakta Kaduskar, together with Dr. Ajay Kaduskar when medical treatment is needed.
Excess weight and insulin resistance are the most common causes of fatty liver in India. Losing weight, especially abdominal fat, improves it.
Sources and further reading
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Ready to talk to a specialist?
Call 0712 2422214 or +91 84591 41584, message us on WhatsApp, or use the appointment form. Please bring your previous reports and a list of the medicines you take.