Chew Chun Yang
Family Physician

Family Physician
If losing weight were simply about discipline, most people would not regain it.
And yet, many do.
The pattern is familiar. You decide to make a change. You cut back on carbs, skip late-night snacks, commit to early morning workouts. The first few weeks feel encouraging. The scale moves. You feel motivated.
Then progress slows. Hunger becomes harder to ignore. Work gets hectic. Social plans pile up. The scale stalls, or inches back up.
It’s frustrating, confusing, and often ends in self-blame: “I just need to try harder.”
In reality, weight loss is rarely that straightforward.
Crash diets and fast-track slimming programmes are appealing because they promise quick, visible results within a short timeframe.
But the truth is, the body does not respond well to extremes.

When calorie intake drops sharply, your system adapts. Extreme caloric restriction can:
This happens because your body’s built-in survival mechanism is wired to maintain balance. When it senses rapid change, it compensates. This metabolic adaptation is one reason why weight regain is common after aggressive dieting.
Unregulated slimming products or treatments also carry additional risks, from unknown ingredients to lack of proper medical oversight. Even if the short-term results seem impressive, they are rarely sustainable.

For many people, weight concerns begin with appearance. But beneath the surface, the impact of excess weight goes far beyond how you look. Studies show that visceral fat, which is fat stored deep within the abdomen around internal organs, is associated with:
In Asian populations, metabolic complications often develop at lower body mass index (BMI) levels compared with Western populations. Because of this, many Asian clinical guidelines consider a BMI > 27 kg/m2 — particularly when accompanied by related health conditions — as an important threshold for considering medical weight management.
Obstructive sleep apnoea (OSA) is another commonly overlooked condition linked to excess weight. Poor sleep can worsen blood pressure, insulin resistance and daytime fatigue, creating a cycle that makes weight management even more difficult.
Seen through this lens, weight management becomes less about aesthetics and more about protecting long-term health and wellbeing.

For many patients, repeated cycles of weight loss and regain can be discouraging.
Growing evidence suggests that obesity behaves similarly to other chronic conditions. The World Health Organisation (WHO) recognizes obesity as a chronic disease, requiring comprehensive management rather than short-term dieting alone.
Body weight is influenced by multiple interacting factors, including:
Because of these influences, long-term weight management often requires sustained lifestyle strategies, combined with medical support where appropriate.
You may wish to consider a structured weight management programme if:
Seeking help doesn’t mean you have failed. It means you’re choosing a more informed and supported path forward.

At Parkway Shenton, we’re here to support you with structured, evidence-based strategies guided by our doctors and certified health professionals. We start by understanding your goals, lifestyle and overall health profile, before developing a holistic weight management plan that is realistic, sustainable and personalised for you.
This typically includes:
For some individuals, GLP-1 medications may also be prescribed as part of the programme. For others, targeted lifestyle intervention may be sufficient.
The aim is to ensure steady fat loss while preserving muscle mass, improving metabolic markers and building habits that last. Above all, we care about your long-term health.

True weight loss begins when you’re ready to embrace sustainable change.
If you’ve been moving from one diet to another without lasting results, it may be time to consider whether medical support can make your journey easier.
When you’re ready to move beyond quick fixes towards a guided, health-first approach, speak with our doctors to explore your next step and develop a personalised weight management plan.
Parkway Shenton’s Medical Weight Management Programme starts from S$380/month and is available at selected clinics islandwide, including Bukit Batok Central, ESR BizPark @Changi, Guoco Tower, Kovan, Pasir Ris Mall, Republic Plaza, Serangoon Central, Tampines West, Tembeling Centre, and Toa Payoh.
Register your interest here, and our team will be in touch to arrange a no-obligation call with a doctor to discuss your goals and preferences.