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Successful Weight Loss –When Metabolism, Hormones and Diagnostics Work Together
Dear Patients,
Many people want to reduce their body weight, whether to relieve strain on their musculoskeletal system, improve their health or increase their well-being. However, despite a disciplined diet and regular exercise, the desired results often fail to materialize. The cause is often not lifestyle, but overlooked medical factors: Hormonal changes, a slowed metabolism, inflammatory processes or an imbalance between muscle and fat mass can make weight loss noticeably more difficult.
In this article, we show how comprehensive diagnostics can help
identify individual obstacles and how a targeted, medically supervised strategy can lead to lasting success.
Why weight loss is often harder than expected
The well-known formula “eat less, exercise more” doesn’t work equally well for everyone. Especially in midlife, during periods of chronic stress, hormonal changes, or inflammation, the metabolism can shift. The body then begins to store and consume energy differently.



Typical factors that can slow down fat loss include:
Typical factors that can slow down fat loss include:
- Hormonal imbalances
(e.g. thyroid, sex hormones, cortisol, insulin...) - Low muscle mass and therefore a reduced basal metabolic rate
- Chronic inflammation
- Micronutrient deficiencies
- Lack of knowledge about actual energy needs
Testosterone Deficiency is a key factor in men over 50
In many men, testosterone levels decline with age.
This natural process can be more pronounced than usual in some men and have a significant impact on metabolism:
- Loss of muscle mass
- Increased visceral (abdominal) fat
- Lower resting energy expenditure
- Reduced effectiveness of training and diet
A proven testosterone deficiency can be positively influenced by targeted hormone therapy under medical supervision.
Studies show that this can improve muscle mass and fat percentage and increase training success. As with all medical therapies, however, it should only be carried out after a thorough diagnosis and individual assessment of the risks.

Medical diagnostics – the foundation for healthy weight loss
Before starting any weight loss program, it makes sense to take a comprehensive look at your individual physical condition.
At the Alpstein Clinic, we use modern diagnostics that take all relevant factors into account.
Hormone profile
Analysis of testosterone, estrogen, progesterone, cortisol and insulin to identify hormonal imbalances.Blood lipids and glucose levels
Assessment of cholesterol, LDL, HDL, triglycerides, fasting glucose and HbA1c to detect early signs of metabolic disorders or diabetes.Liver and kidney function
Evaluation of organ resilience – crucial for the body’s detoxification capacity.Body composition
Measurement of fat, muscle and water percentage using bioelectrical impedance analysis (BIA).Inflammation and micronutrient status
Detection of silent inflammation (e.g. CRP) and deficiencies such as vitamin D, B12 or iron.
Personalized training control with VO₂max, Fatmax and uVida testing
Effective training must be aligned with your individual metabolism.
That’s why we use advanced testing methods at Alpstein Clinic to guide your training:
BIA measurement (bioelectrical impedance analysis)
An objective analysis of body composition is ideal for tracking progress and adjusting your training plan.
VO₂max and Fatmax tests
VO₂max: Measures your maximum oxygen uptake under physical stress – an indicator of endurance performance.
Fatmax: Identifies the optimal intensity level for fat burning.
Both tests help tailor your workout for maximum fat loss and endurance gains.
uVida testing
Captures your actual calorie consumption at rest and during activity – essential for precise training and nutrition planning.
Targeted eating – targeted weight loss: individual nutritional guidance
Based on the diagnostic findings, we create a personalized nutrition plan tailored to your body’s needs, including:
- Accurate determination of your calorie needs
- Optimal distribution of macronutrients (protein, fat, carbohydrates)
- Targeted training to boost fat burning
- Correction of micronutrient deficiencies
Conclusion: Losing weight starts with understanding
Sustainable weight loss does not start with counting calories, but with a precise understanding of your individual physical condition. Only when your metabolism, hormone levels, inflammation status and body composition are known can an individual, holistic and long-term successful concept be developed.

Dr. med. Günther Bauer

We look forward to meeting you in person
With targeted diagnostics and an individually tailored therapy and training concept, we help you activate your metabolism, reduce weight and improve your quality of life.
We are happy to take the time for a personal consultation to discuss your health goals and find the right path for you.