Consultant-delivered care in Jersey
Being overweight is not a failure of willpower
Insightful, medically led care that begins by listening—not judging.
Being told to “eat less and exercise more” can be as unhelpful as telling someone with depression simply to “cheer up”. It reduces a complex and often painful health problem to a slogan—and can leave people feeling that they have failed. The bodies we have today are the same bodies from tens of thousands of years ago. Back then we ate calorie-poor food every three days; now we eat calorie-rich food three times a day. Is there any wonder that there is an issue?
Most people I meet already understand the basics of food and activity. Many have spent years losing weight, regaining it, feeling judged and blaming themselves. I begin by listening to what you have experienced and considering the wider picture: appetite, health, medicines, sleep, stress, daily life and what has made lasting change difficult.
Where clinically appropriate, prescription treatment may form part of an individual plan. No particular medicine is promised or supplied simply because an appointment has been booked. Treatment decisions follow an individual medical assessment and support sustainable dietary, activity and behavioural changes.
Your first consultation
- Your health and relevant medical history
- Your weight history and previous approaches
- Current medicines and possible contraindications
- Realistic treatment options and expectations
- How prescription treatment is used, when appropriate
- A personal demonstration of the equipment, including how to use it safely. You will not leave the clinic without practical education and written information to take home.
- Monitoring, adverse effects and when to seek help
Current appointment fees
New patient consultation: £200
A 30-minute, face-to-face medical consultation.
Weight-management review: £50
A 15-minute review for current or previous patients. This can be useful for patients who wish to reduce or stop treatment, or whose weight loss has plateaued.
A £35 deposit is taken when booking and deducted in full from the cost of your appointment. Any medicine supplied by a pharmacy is charged separately.
Patient education
How medically supported weight management can help
When an individually selected prescription treatment is appropriate, it may influence appetite, fullness, digestion and blood-glucose regulation. The exact effects vary and are discussed during consultation.
Fullness may last longer
Some treatments slow the movement of food through the stomach, helping you feel satisfied for longer after eating.
Hunger signals may become quieter
Changes in appetite and satiety signalling can reduce persistent hunger and make smaller portions feel more manageable.
Blood-glucose responses can change
Some prescription options influence insulin and glucagon responses. This is one reason proper medical assessment and monitoring matter.
Eating less should not mean not eating
Reduced appetite should make sensible portions easier. It is not an invitation to starve yourself or abandon balanced nutrition.
My three golden rules
The advice I repeat to every patient
Golden rule 1
Eat three times a day
I want you to lose weight, but I still want you to eat. Begin with breakfast, lunch and dinner, initially eating the foods you normally would but in smaller portions. Over time, we move towards healthier choices. Deliberately starving yourself is dysfunctional, unsustainable and can make you feel very unwell.
Golden rule 2
Drink plenty—but sensibly
It is easy to become dehydrated, which can contribute to headaches and light-headedness. Use the colour of your urine as a practical guide: clear to pale straw-coloured is ideal. Do not force excessive fluid; more is not always better.
Golden rule 3
Order with two doses remaining
Please allow up to 14 days and request your repeat while you still have two doses left. This protects continuity if I am away or if island supplies are delayed—something Jersey’s autumn storms have caused before.
This is a journey, not a race
Sustainable weight management is built over time. The aim is not a dramatic short-term result; it is a healthier pattern you can maintain when treatment changes or eventually stops.
Food: smaller changes that last
Start with smaller portions of the foods you already eat, then build towards a healthier balanced diet. If you feel comfortably full, stop—you do not need to finish the plate out of politeness.
Avoid suddenly adopting an extreme, highly restrictive, high-protein or very-low-carbohydrate diet without discussing it. Severe restriction is not the plan and can make you unwell.
Movement: gradual and enjoyable
Physical activity matters for health even when the scales do not move. Build it gradually around your current health, mobility and confidence. Walking, swimming and cycling are useful lower-impact starting points.
Choose something you can continue. Movement should be enjoyable—not feel like torture. If running appeals later, use appropriate footwear and consider a gradual programme such as NHS Couch to 5K.
Plateaus happen. We use them as a reason to review the whole plan—not as proof that you have failed.
A prescription is part of a plan—not the whole plan
Individual, cautious prescribing
I do not increase a dose simply because a higher dose exists. Decisions are based on your response, tolerance and clinical need, using the lowest exposure that achieves an appropriate result for you.
Booking a consultation does not guarantee that medicine will be prescribed. Benefits, limitations, contraindications, interactions, precautions, alternatives and warning symptoms are considered before a recommendation is made.
Transparent fees and pharmacy choice
My professional fees are stated openly and are not hidden within the price of medicine. I do not receive commission or a referral payment from a dispensing pharmacy. Any medicine is charged separately by the pharmacy.
You retain a genuine choice of dispensing pharmacy, subject to the pharmacy being appropriately registered, able to obtain the prescription and able to dispense it safely. My clinical decisions are not based on a commercial arrangement with a pharmacy.
Why there is no medicine-comparison table here: specific prescription medicines, doses, benefits and risks are discussed after an individual assessment. This public page explains the consultation and Dr Greig’s approach; it does not promote a particular prescription product.
Read factual information about possible prescription treatments →
Assessment, safety and reliable information
Prescription medicines can cause adverse effects and are not suitable for everyone. Any recommendation must be based on your individual circumstances, current official product information and applicable professional guidance.
If you develop a possible side effect or medical problem, do not use the repeat-prescription form. Contact Dr Greig through the Contact page. Seek urgent medical help when symptoms are severe or urgent.
Clinical sources: NICE guideline NG246: Overweight and obesity management (published January 2025; updated January 2026) and MHRA patient safety information for prescription weight-management medicines (updated February 2026).
Ready to discuss your health and your options?
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