The discussion delves into the rapidly evolving role of weight management within the aesthetics industry, exploring how clinical knowledge, patient education, and ethical practice combine to create safe and effective outcomes. Guest expert Piroska Cavell, independent nurse prescriber and founder of Clinic Sese, shares her professional journey and insights into why aesthetic clinics are uniquely positioned to provide weight loss services—provided they do so under appropriate medical supervision.
A major focus of the conversation is the rise of weight loss injections and the reasons behind their surge in popularity. Piroska explains how these medications work, the science supporting them, and the lifestyle and behavioural changes needed to achieve sustainable results. She also addresses widespread myths and misconceptions, including sensationalised topics like “Ozempic face,” clarifying what’s based in science and what’s media exaggeration.
The episode also highlights the risks of misuse, particularly the dangers of sourcing medications online or through unregulated providers. Piroska underscores the importance of medical oversight to monitor side effects, adjust dosages safely, and integrate treatments within a holistic care plan.
Education emerges as a recurring theme—Piroska emphasises the value of teaching patients about nutrition, exercise, and lifestyle habits as part of a long-term programme rather than relying solely on pharmacological intervention. She also discusses how her own background, from midwifery to advanced training in obesity management, shaped her understanding of the complex physiological and emotional factors influencing weight.
Other key topics include the impact of menopause on weight gain, the role of strength training in maintaining metabolic health, and the importance of recognising and supporting patients struggling with body image or body dysmorphic disorder. The conversation also touches on the troubling rise of illegal social media promotions for weight loss drugs, calling for stronger regulation and more responsible marketing.
The discussion concludes with advice for healthcare professionals looking to enter the field of medical aesthetics or weight management responsibly. Piroska encourages practitioners to invest in proper education, uphold ethical standards, and prioritise patient safety and wellbeing.
Overall, the episode offers a grounded, medically informed perspective on one of today’s most talked-about topics—emphasising that safe, effective weight management depends on clinical expertise, holistic care, and genuine empathy.
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