Medically Guided Weight Loss in Spain with an English-Speaking GP
Medically Reviewed by Dr. Pedro Yelamo Vera, MD
Licensed Physician No. 484814280 · Official Medical College of Bizkaia (Spain)
A medical review of your weight and metabolic health, by video.
Dr. Pedro Yelamo Vera
Licence No. 484814280 · Urgent, non-emergency care
Common Symptoms
Weight is hard to manage alone, and harder when you live abroad and have no regular doctor. Medically guided weight loss starts with a review of your health, not a diet. People often come to us with:
- Trouble losing weight despite real changes to eating and activity
- Weight that comes back after past diets
- Strong hunger or cravings
- Low energy, joint pain or less mobility
- Snoring or poor sleep
- A raised waist size or a BMI in the overweight or obesity range
- Worries about blood sugar, blood pressure, cholesterol or fatty liver
Weight is not just a matter of willpower. Genes, hormones, sleep, stress, medicines and life events all play a part. Obesity is a long-term health condition, and it deserves the same calm, medical care as any other.
You don't have to figure this out alone
Dr. Pedro Yelamo Vera is an independent, bilingual GP licensed in Spain. Book a 15-minute video consultation in English or Spanish for €50, with a private electronic prescription issued under Spanish law when clinically appropriate.
How We Treat It
In a Weight Optimization consultation, Dr. Yelamo asks about your weight history, BMI and waist size. He reviews your health conditions, medicines, sleep, mood and eating patterns. He also asks about pregnancy plans and recent blood tests. Care may include:
- A Weight Optimization consultation: a 30-minute video review of your weight, results and options
- A check for health problems linked to weight, such as prediabetes, high blood pressure or fatty liver
- Advice on which blood tests may help, and a review of your results
- A realistic plan for food, activity, sleep and stress that you can keep
- A talk about medicines, including GLP-1 therapy, only where clinically appropriate, following a genuine evaluation
- A private electronic prescription under Spanish law if a medicine is right for you
- Follow-up appointments to check progress and side effects
No prescription is promised. Treatment and prescriptions are issued solely at the doctor's discretion based on evidence-based clinical guidelines. GLP-1 medicines are not used in pregnancy or breastfeeding, and under-18s need care led by a specialist team. A video visit cannot replace a physical exam. If you have had an eating disorder, please tell the doctor; food restriction is never the aim.
Clinical Evaluation & Evidence-Based Protocol for Medically Guided Weight Loss
During a telemedicine consultation with Dr. Pedro Yelamo Vera (licensed medical practitioner No. 484814280 at the Official Medical College of Bizkaia), clinical evaluation adheres strictly to evidence-based medical (EBM) standards. The doctor conducts a thorough history, evaluating symptom duration, aggravating factors, prior treatments, and drug allergies to establish an accurate differential diagnosis.
Private Electronic Prescriptions (Receta Médica) Issued Under Spanish Law
When clinically indicated, Dr. Yelamo issues a private electronic prescription (Receta Médica Electrónica Privada) under Spanish law. The digital prescription contains a secure QR verification code accepted at all 22,000+ registered community pharmacies across Spain for immediate medication dispensing.
Itemized Invoices for Travel & Private Health Insurance Reimbursement
After your consultation, you receive an official medical report and an itemized invoice. The invoice shows Dr. Yelamo's licence details and tax ID. You can send it to your travel or private health insurer (such as Bupa, Allianz, Cigna, AXA or a US travel policy) to claim the cost back.
Preparing for Your Online Medical Consultation
Before your appointment, note when your symptoms started and any medicines you have already tried. Have your allergies and your usual prescriptions to hand. For a skin, rash or eye problem, sit in a well-lit room so the doctor can see it clearly.
Clinical Follow-Up & When In-Person Urgencias Are Necessary
Video care works well for common infections, mild sudden symptoms, skin rashes and repeat prescriptions. Some warning signs need emergency care in person: severe shortness of breath, a high fever you cannot bring down, chest pain or a stiff neck. If you have any of them, call 112 in Spain straight away.
When to Seek Immediate In-Person Care
Do not wait for a video visit. Call 112 or go to the nearest emergency department if you have:
- Severe or constant belly pain, especially if it spreads to the back
- Vomiting you cannot stop, or signs of dehydration such as very little urine or fainting
- Chest pain, trouble breathing or a sudden, severe headache
- Confusion, shaking or sweating if you take insulin or a sulfonylurea (possible low blood sugar)
- Weight loss you cannot explain, with fever, night sweats or blood in your stool
- Thoughts of harming yourself, or very low mood
Frequently asked questions
What is medically guided weight loss?
It is weight care led by a doctor. The doctor checks your health, finds any weight-related conditions and agrees a plan with you. The plan covers eating, activity, sleep and, in some cases, medicines.
What happens in a Weight Optimization consultation?
It is a 30-minute video visit for people in Spain. Dr. Yelamo reviews your weight history, BMI, waist size, health, medicines and recent blood tests. You then agree on next steps together.
How do doctors decide if my weight is a health risk?
BMI is a starting point: 25 to under 30 is overweight and 30 or more is obesity. Waist size, blood pressure, blood sugar and cholesterol add to the picture. BMI alone does not tell the whole story.
Will I be prescribed a weight-loss medicine?
Not always. Medicines, including GLP-1 therapy, are considered only where clinically appropriate, following a genuine evaluation. Their licence covers adults with a BMI of 30 or more. It also covers a BMI of 27 or more with a weight-related health problem. The doctor must also check they are safe for you.
Is medicine a replacement for diet and exercise?
No. Weight-loss medicines are licensed as an add-on to changes in eating and activity. Those habits also help protect muscle and help if treatment stops.
Can weight be managed online, and what needs in-person care?
History, blood test reviews, plans and follow-up appointments work well by video. A physical exam, blood pressure checks you cannot do at home, and weight-loss surgery need in-person care. The doctor will tell you if you need it.
Do I need blood tests first?
Often, yes. Common checks include blood sugar (HbA1c), cholesterol, kidney and liver tests and thyroid tests. The doctor advises which ones make sense for you.
Online consultations are for urgent, non-emergency care. In a medical emergency call 112 immediately or go to your nearest emergency department.
Every day · 07:30–20:30One named doctor, from first call to follow-up
Book a secure 15-minute video consultation with Dr. Pedro Yelamo Vera for €50. Appointments every day, 07:30–20:30 (Spain time). For urgent, non-emergency care; in an emergency, call 112.
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