The enzyme aromatase, present in fat cells, converts androgens to oestrogensa process that becomes increasingly important after menopause when ovarian oestrogen production declines

Comprehensive metabolic evaluation: Initial consultation with full metabolic panel, body composition analysis (DEXA or bioimpedance), thyroid function, insulin levels, HbA1c, lipid panel, and hormonal assessment Pharmacotherapy management: GLP-1 receptor agonist prescribing, appetite suppressant management, and adjunctive medication protocols Nutrition planning: Individualized meal plans, macronutrient optimization, micronutrient supplementation, and dietary counseling Behavioral health support: Cognitive behavioral therapy for eating patterns, motivational interviewing, and habit formation coaching Body composition monitoring: Regular DEXA scans, bioimpedance measurements, and anthropometric tracking Maintenance programming: Long-term weight maintenance protocols, medication tapering strategies, and relapse prevention planning Offering a defined program structure rather than ad hoc visits dramatically improves patient compliance, outcomes, and revenue predictability

Loss of protective effects: Cardiovascular and kidney protective benefits likely diminish
Oral glutathione has poor bioavailability
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