Nutrition Counseling & Medical Weight Loss Wiesbaden – Sustainable, Not Yo-Yo
Medical nutrition counseling and physician-supervised weight reduction in Wiesbaden. We analyze your metabolism, identify hormonal causes and develop an individual nutrition plan – long-term, practical and medically sound.
ab 150 €|Initial consultation included
In Brief
„Medical nutrition counseling and weight management in Wiesbaden: We analyze your metabolism, identify hormonal causes and develop an individual nutrition plan – aimed at sustainable weight reduction or stabilization. Unlike nutritional medicine, which addresses specific conditions, the focus here is on active weight management and metabolism optimization. With Metabolic Balance® or medication support if needed.“
Dr. Anastasia Silvani
Do you have gastrointestinal complaints, food intolerances or nutrition-related conditions? Then our nutritional medicine is the right entry point. To Nutritional Medicine →
Nutrition & Weight Management – Key Facts
60–90 Min
Initial visit with assessment
3–12 Mo
Medical support
Individuell
Nutrition plan & metabolic analysis
Ganzheitlich
Nutrition, exercise, gut health
All information refers to standard treatment. Individual variations possible.
Your Situation: Why Can't I Lose Weight Despite Exercise?
Sound familiar?
- 1Yo-yo effect after short-term diets – the weight keeps coming back
- 2Can't lose weight despite exercise – metabolism slowed or sluggish?
- 3Unclear causes – insulin resistance, hormonal imbalances, gut health?
- 4Overwhelmed in everyday life – too complicated, not feasible
- 5Too little medical support – no individual metabolic analysis
Our Solution
- Structured history + metabolic analysis – we find the true causes
- Individual nutrition plan & Metabolic Balance® – fitting your lifestyle and metabolism
- Gut health analysis – the gut is central to successful weight loss
- Nutrition plans that are realistic even for executives and busy professionals
- Structured, efficient consulting without unnecessary appointments – clear strategies instead of complicated diet rules
- Realistic, measurable steps – no unrealistic promises
- Regular adjustments by internist – medically sound, long-term effective
Nutrition & Weight Management
Physician-supervised
Holistic, Medically Sound Care
Sustainable weight reduction and metabolic optimization
Initial phase scope:
- Comprehensive medical consultation & history
- Physical examination
- Internal medicine lab diagnostics incl. metabolic status
- Thyroid ultrasound (thyroid sonography)
- Abdominal organ ultrasound (abdominal sonography)
- Individual therapy plan (nutrition, behavior, training)
Care (individualizable):
- Initially 1–2 medical appointments per month
- Further medical check-ups over 3–4 months
- During the care phase: daily 24/7 remote consultation free of charge
Looking for nutrition counseling independent of weight management?
→ Learn more about Nutritional Medicine (individual service)Physician-Supervised Weight Reduction Program
Treatment is not a simple prescription service but a physician-supervised, structured weight reduction and metabolic program.
The goal is sustainable and medically safe weight loss of approx. 0.5–1 kg per week.
The concept combines:
- Individual nutrition counseling
- Behavioral therapy / lifestyle intervention
- Exercise recommendations
- Internal medicine diagnostics
- Close medical supervision
Medication Support (e.g. Mounjaro® / Tirzepatide)
The therapy is used exclusively within the overall medical concept.
Time-Limited Use
Treatment with tirzepatide is used only temporarily (e.g. over 6–9 months) to support the start of sustainable weight reduction.
The focus is on long-term lifestyle change so that the weight loss achieved remains stable after medication is discontinued.
Medical Pre-Examination Before Therapy
Before a possible prescription, a medical evaluation is conducted to rule out contraindications, including:
- Blood tests (metabolic parameters, lipid profile, liver values, glucose metabolism)
- Thyroid ultrasound
- Exclusion of relevant pre-existing conditions (e.g. pancreatitis or gallstones)
- Individual risk counseling regarding possible side effects
Only after thorough medical counseling is a private prescription issued if indicated.
Structured Accompanying Therapy
The medication therapy is embedded in a physician-supervised concept including:
- Individual nutrition counseling
- Behavioral therapy / lifestyle intervention
- Exercise recommendations
- Close follow-up monitoring
- Dose adjustment as needed
Transfer from Existing Online Therapies
If patients have already received Mounjaro through an online provider, care can be taken over within the overall medical concept.
Please bring existing documents to the initial appointment (dosage, previous progress, prior findings).
Metabolic Balance® – Metabolic Reset Based on 36 Blood Values
Metabolic Balance® is a certified nutrition program for targeted metabolic adjustment. It is based on 36 analyzed blood values from which an individual nutrition plan is created.
It is not a diet, but a structured medical metabolic therapy with the goal of:
- Supporting insulin and blood sugar regulation
- Considering hormonal imbalances
- Enabling sustainable weight reduction
- Avoiding cravings and yo-yo effects
As an internist, I personally guide you through all phases – from analysis to stabilization.
Gut Health & Microbiome
The gut plays a central role in metabolism, inflammatory processes and weight development. If needed, we integrate a microbiome analysis into your concept.
→ Learn more about gut health & microbiome analysis
Dr. (Univ. Ind.) Anastasia Silvani
Fachärztin für Innere Medizin · Wiesbaden
"I personally perform your Nutrition & Weight Management treatment in Wiesbaden – for a result you can trust."
Book Consultationvia DoctolibIs Nutrition & Weight Management right for you?
Ideal for you if...
- Sustainable weight loss instead of short-term diets
- Overweight or obesity (physician-led)
- Metabolic disorders, diabetes or hormonal questions
- Why can't I lose weight despite exercise? - metabolic analysis needed
- Food intolerances (lactose, fructose, gluten, histamine)
- Optimize gut health
- Metabolic Balance or metabolism optimization
Less suitable if...
- Acute eating disorders (specialist psychotherapeutic help needed)
- Acute medical emergencies
Your Treatment Process: Nutrition Counseling & Weight Loss in 3 Steps
Analysis → Individual nutrition plan → Long-term support.
Analysis & Metabolic Check
60–90 minGoals, nutrition habits, stress, sleep, activity. Metabolic analysis: insulin resistance? Hormones? Thyroid? Optional: gut health analysis, labs and food intolerance testing.
Create Individual Nutrition Plan
15–20 minWiesbaden nutrition plan – tailored, practical. Metabolic Balance program for metabolic disorders. Exercise plan. Concrete, measurable steps.
Medical Support & Adjustment
3–12 monthsRegular check-ins and adjustments. Motivation and support from your internist. For obesity (BMI ≥ 30), medication support, e.g. GLP-1-based therapies, may be part of the overall medical concept. This is done exclusively after medical indication and close monitoring. Long-term stabilization – so it sticks.
Costs & Pricing – Weight Management
Billing according to GOÄ (factor 2.3–3.5). Scope and support are planned individually.
Nutrition & Weight Management (individual)
per GOÄ (factor 2.3–3.5)
Scope (initial phase):
- Detailed medical consultation & history
- Physical examination
- Internal medicine lab diagnostics incl. metabolic status
- Ultrasound: thyroid (thyroid sonography), abdominal organs (abdominal sonography)
- Individual therapy plan: nutrition, behavior, training
Support individualized on request:
- Initial: 1–2 medical appointments per month
- Further medical check-ups over 3–4 months
- During the support phase: daily 24/7 remote consultation free of charge
Medication Therapy (optional)
Initial assessment
Includes
- Blood tests
- Metabolic diagnostics
- Thyroid ultrasound
Follow-up Checks & Prescription
30–50 €Consultation and prescription if needed every 2–3 months (per GOÄ). Medication costs are billed separately via pharmacy.
Medication therapy (e.g. tirzepatide / Mounjaro®) is provided exclusively as part of the physician-supervised weight reduction program and not as a standalone prescription.
No hidden costs
Payment Methods
Final costs are determined during personal consultation. We inform transparently about all costs.
Stubborn fat pockets despite weight loss?
Some fat deposits – e.g. on the abdomen or flanks – barely respond to diet or exercise despite discipline. In such cases, cryolipolysis (body contouring) can be a useful complement to further define the silhouette.
→ Learn more about cryolipolysis in WiesbadenOur Promise: Best Nutrition Counseling Wiesbaden
Honest assessment, individualized strategy and medical support – no empty promises.
Unsure if Nutrition & Weight Management is right for you?
Get medical advice – without pressure to proceed.
Instant confirmation via email
Frequently Asked Questions about Nutrition Counseling & Weight Loss in Wiesbaden
Our Service
We Support You
Financing Service
High-quality aesthetic treatments can involve significant costs. We know that many of our clients particularly value the therapies we offer. That's why we support you upon request and offer attractive financing models.
We are happy to advise you on your financing or installment payment options at your practice DR. (UNIV. IND.) ANASTASIA SILVANI | PRECIOUS in Wiesbaden and find an optimal solution for everyone.
Recall & Appointment Reminder
Take advantage of our recall and appointment reminder service upon request. We will contact you in good time, whether by phone, email, or SMS. Focus on what matters and we'll keep track of your booked appointments and routine check-ups.
This service is of course free of charge for our patients.
Your Practice in Wiesbaden
Parking
Parking available near the practice.
Public Transport
10 minutes bus ride from Wiesbaden main station
Accessibility
Please contact us for special accessibility requirements.
Opening Hours
Map disabled
Loading the map transfers data (including your IP address) to Google LLC in the USA. Clicking "Load map" gives your consent to this transfer (Art. 6 (1) (a) GDPR).
Ellenbogengasse 2, 65183 Wiesbaden
You might also be interested in
Consultation in Wiesbaden
Schedule your personal consultation at our practice – non-binding and discreet.
