By Sukhi Basra, IP Pharmacist & SCOPE accredited Obesity Specialist
Founder, The London Pharma Clinic
At The London Pharma Clinic, we see patients every day who are doing everything right, eating clean, working out, and even taking the latest weight loss medications, but still feeling stuck. Often, they’re dealing with bloating, cravings, fatigue, or stubborn weight gain. And almost always, the missing piece of the puzzle is one thing:
The Gut–Intolerance–Weight Connection
Your gut plays a powerful role in metabolism, energy, and inflammation. If the food you eat is quietly triggering food intolerances (especially delayed IgG reactions), it can lead to:
- Chronic inflammation
- Bloating, gas, and sluggish digestion
- Insulin resistance and water retention
- Plateaus or poor response to weight loss medications
One of my patients, was eating “healthy” meals like eggs, oat milk, and sourdough only to discover her immune system was reacting to eggs, dairy, wheat, sesame, and more. Her food intolerance testing finally connected the dots, and once she adjusted her meals, the fatigue and bloating lifted.
Read this study on food IgG and inflammation
Why Gut Health Is Key for Medical Weight Loss
If you’re on a GLP-1 medication like Wegovy or Mounjaro (tirzepatide), you already know how powerful they can be. But medications aren’t magic bullets. If your gut is inflamed or your diet is still filled with triggering foods, your progress can stall.
I was recently honoured to be invited to speak at a clinical training webinar hosted by Eli Lilly for clinicians prescribing these medications. One key takeaway I shared with fellow practitioners:
“Weight loss isn’t a transaction, it’s a transformation. If we want to help patients succeed, we need to offer wraparound care.”
That means combining medication, nutrition, emotional support, and functional gut health insights not just handing over a prescription.
Explore how gut microbiota influences metabolic health
How to Support Weight Loss with Gut-Smart Choices
1. Test, Don’t Guess
You can start with clinical-grade testing for:
- IgG Food Intolerances (delayed reactions)
- IgE Allergies (immediate hypersensitivities)
- Gut microbiome mapping and inflammation markers
2. Focus on Warm, Gut-Healing Foods
From both an Ayurvedic and functional nutrition view, warm, cooked meals are easier on digestion and help repair a sensitive gut lining.
- Quinoa porridge with stewed apple & cinnamon
- Sweet potato hash with avocado
- Root veg soups, rice bowls, gentle spices
Research on traditional food prep and digestion
3. Rotate Foods & Reduce Triggers
Once we identify food triggers (e.g. dairy, eggs, gluten, coffee, nuts), we build a rotation diet that supports immune tolerance over time without falling into restriction or monotony.
This Is a Journey, Not a Meal Plan
We approach every patient as a whole person. At The London Pharma Clinic, we look at:
- Clinical food sensitivity testing
- Medication and supplement support (where needed)
- Meal planning, mindfulness strategies, and realistic lifestyle changes
We believe in supporting the metabolic, emotional and digestive sides of weight loss, not just treating it like a numbers game.
“I don’t want rules. I want rhythm.” Patient reflection
This quote sums up our philosophy perfectly. Let’s build a plan that works with your life, your energy, and your body, not against it.
Ready to Feel Clearer, and More Energised?
If you’re navigating medical weight loss, bloating, or hidden food intolerances, we’re here to help. Book a consultation or send us a message to explore how we can support your journey.
