Cardiometabolic medicine

Weight and blood pressure are more closely linked than most people realise. Evidence shows that a modest 5–10% reduction in body weight is associated with meaningful reductions in blood pressure — for some people this can support a reduction in medication doses under clinical review. The reverse is also true: unrecognised high blood pressure and its knock-on effects on insulin resistance make sustained weight loss much harder. Cardiometabolic medicine is a fast-moving area of preventive cardiology. Recent evidence, including large cardiovascular outcome trials such as SELECT and STEP-HFpEF, indicates that assessing weight, blood pressure and metabolic risk together — rather than in isolation — can be relevant to a person's long-term risk of heart attack, stroke and heart failure. Our cardiometabolic clinic assesses these factors as one clinical picture rather than several. We look at blood pressure, body composition, insulin resistance and pre-diabetes, cholesterol, fatty liver, and family history — and build one clear plan that considers the underlying drivers, not just individual numbers. Depending on what fits you, that plan can combine practical lifestyle and dietary change, targeted blood-pressure and lipid treatment, and — where clinically appropriate and following individual assessment — a discussion of the licensed prescription options that may be relevant to your situation. Every step is consultant-led and monitored. If weight, blood pressure and cardiovascular risk feel closely connected in your case, this is the kind of clinical picture the cardiometabolic clinic is designed to help assess.