1st Face-to-face visit
Your journey begins with an in-person assessment at Spire. We review your renal history, dialysis needs, or transplant status to ensure safe prescribing.
Consultant renal specialist · United Kingdom
Consultant-monitored weight management designed around low kidney function
Built for people the high-street weight-loss services turn away — reduced kidney function, haemodialysis, peritoneal dialysis, or life with a kidney transplant. Every dose, weight and blood result reviewed by a consultant nephrologist.
- 1st F2F
- Initial assessment
- 4-weekly
- Blood tests
- 26-week
- Video review
Consultant-led
Assessed and prescribed by a consultant renal specialist
Face-to-face first
No medicine issued from an online form
Kidney-aware dosing
Fluid balance, tolerance and creatinine tracked
No payment here
Consultations and medication are billed externally
Who we treat
Weight loss without putting your kidneys second
GLP-1 medicines such as Mounjaro and Wegovy can be appropriate with reduced kidney function — but only with dose care, fluid awareness and biochemical monitoring. That monitoring is the service.
- Chronic kidney disease, any stage
- Haemodialysis or peritoneal dialysis
- Living with a kidney transplant
- Declined elsewhere because of kidney function
How treatment runs
Nephrology standards, not a subscription service
Video clinic & bloods
Two weeks after starting, you'll have a video consultation and follow-up blood tests to monitor early tolerance and fluid balance.
Monthly monitoring & PIFU
Followed by blood tests every 4 weeks with regular review and monitoring via our portal — supported by Patient Initiated Follow-Up (PIFU).
Knowledge hub
Clinically reviewed explainers
Plain-English guidance on GLP-1 treatment, chronic kidney disease, dialysis and transplant care — each article authored and medically reviewed.
GLP-1 medications explained
How GLP-1 receptor agonists work, how they are dosed, and what to expect month by month.
Side effects, safety and contraindications
Nausea, reflux, gallbladder risk, absolute contraindications and when to stop treatment.
GLP-1 weight loss and kidney disease
Evidence, monitoring and safety considerations for GLP-1 treatment in chronic kidney disease.
Weight loss on dialysis (HD/PD)
Fluid balance, dry weight and appetite change for people on haemodialysis or peritoneal dialysis.
Weight management after kidney transplant
Protecting graft function while losing weight, and interactions with immunosuppression.
CKD and renal nutrition
Protein, potassium, phosphate, salt and hydration while losing weight with kidney disease.
Exercise and muscle protection on GLP-1
Resistance training, protein timing and preserving lean mass and grip strength during weight loss.
Your treatment journey
Every step from first consultation to ongoing review, and which system handles what.
Free Diet Resource
Access Kidney Kitchen for Free
In collaboration with Kidney Care UK — browse hundreds of kidney-friendly recipes, meal plans and practical nutrition advice tailored to renal health.
More than a prescription
Protecting muscle, nutrition and kidney function while you lose weight
Resistance training
Rapid weight loss costs muscle, and muscle matters more with reduced kidney function. Simple progressive strength work is built into your plan.
Renal-aware nutrition
Protein, potassium, phosphate and fluid all need thought on a GLP-1. Appetite suppression should not become undernutrition.
Outcome review
A structured 26-week outcome video clinic review decides whether treatment continues. You must have bloods and weight recorded to ensure your next prescription.
Free Patient Resource
Free Support for Kidney Patients
In collaboration with Kidney Care UK — sign up for Kidney Matters, a free magazine with research updates, patient stories and practical advice.
Start with a face-to-face consultation
Every treatment plan begins with an in-person assessment at Spire. Our pathway includes a 2-week video start, 4-weekly bloods, and a 26-week outcome review. Pay as you go, cancel anytime.
Note: Current weight and bloods are required for all prescription renewals.
Book your first consultationNo payment is ever taken on this website. This page is general information, not individual medical advice.