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Doing the work, seeing no change

Weight that won’t shift, measured, not guessed.

The scale weighs muscle, water and fat together, and it reads a South Asian body against lines set for other populations. Before changing anything, it helps to know what is actually there and how your metabolism is handling it.

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In Indian context

Why it is worth a closer look.

  • For South Asian adults, NICE moves the overweight line to a BMI of 23 and obesity to 27.5.1,2
  • At the same BMI, Asian Indians tend to carry more body fat, more of it around the organs.3

What we look at

The markers, and why each one.

Which tests

Where those numbers come from.

What a physician does with it

A physician reads your body composition, blood and history together, including medicines that can affect weight. You leave knowing what the numbers show and what they do not. Any plan is made with you, not handed out.

The evidence, honestly

What testing can show, and what it can’t.

What the evidence supports

  • Body composition shows whether fat, muscle or water is changing, which the scale cannot.3
  • An underactive thyroid is a known cause of weight gain, and TSH screens for it.4
  • The waist-to-height ratio flags central fat with the same lines for every ethnicity.1

What it does not support

  • A blood test does not explain every stalled weight. Sleep, stress, medicines and how much you actually eat all play a part.
  • We do not promise a number of kilos. Nobody can honestly say in advance how a body will respond.

General education, not advice for you. What suits you depends on your results and history, and a physician decides it with you.

Related reading

From the Genoryx journal.

Questions people ask.

Is BMI useless?

Not useless, but blunt. It cannot tell muscle from fat, and for South Asian adults the lines on most reports are set too high. Waist-to-height ratio and a body-composition scan add what BMI misses.

Can thyroid problems cause weight gain?

An underactive thyroid can, and TSH is the screening test. Most stalled weight is not thyroid, which is why it is one marker among several, not the whole answer.

Will you prescribe weight-loss medicine?

This page is about measurement. Whether any treatment is right for you is a decision for a physician after your results and history, not something decided in advance.

Something else brings you here? See every starting point, read the Indian thresholds guide, or try the calculators.

References

  1. NICE guideline NG246. Overweight and obesity management, 2025: recommendations 1.9.10 (BMI classes), 1.9.11 (lower BMI thresholds of 23 and 27.5 for South Asian and other groups) and 1.9.14 (waist-to-height ratio 0.4–0.49, 0.5–0.59 and 0.6 or more, for all ethnicities and both sexes, BMI under 35). Read the source (opens in a new tab)
  2. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363:157–163. Public health action points at BMI 23.0 and 27.5. Read the source (opens in a new tab)
  3. Yajnik CS, Yudkin JS. The Y-Y paradox. Lancet 2004;363:163. Two men of the same BMI, one Indian and one European, with very different body fat on DEXA. Read the source (opens in a new tab)
  4. MedlinePlus Medical Encyclopedia. Hypothyroidism: early symptoms include fatigue, weight gain, dry skin and thin, brittle hair; diagnosed with TSH and free T4. Read the source (opens in a new tab)

Educational content. Nothing on this page is a diagnosis or a treatment recommendation.

Your biological age is a number you can measure.

Start with the 400+ parameter entry assessment and a 60-minute physician consultation at either Hyderabad clinic. Open seven days, 11 AM to 9 PM.

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