Resources & Insights
The science behind the medications, honest answers to common questions, and notes on what the trials actually show — written by clinicians, reviewed by clinicians, and updated as the evidence evolves.
Searches titles and summaries only — not the body of the articles.
5 min read
"Which one is going to make me feel worse?" is a question patients always ask. The answer, backed by the latest 2026 data, might surprise you. Stronger does not always mean "sicker."
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
4 min read
"I'm flying to Japan in 10 days. Can I just take one shot to avoid gaining weight on the trip?" I hear this request weekly in my Phuket clinic, often from patients flying out the next morning. As a doctor, I have to tell you: this is a medically bad idea.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
5 min read
In our clinic experience, the patients who hit their target body composition are almost always the ones who committed to a 12-month timeline up front. Those who quit at month 3 or 4 because results "feel slow" tend to regain rapidly. The trial data explains why.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
5 min read
A new pattern in Bangkok aesthetic clinics: BMI 23–25 patients asking for medications labeled for obesity. Some genuinely benefit when supervised correctly. Some should not be on these drugs at all. This is how I distinguish between the two.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
5 min read
For expats and medical tourists, Thailand offers FDA-approved weight loss medications at 20–50% lower than US prices. But Western physiology often calls for different dosing than the typical Thai patient. Here's how to think about it.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
5 min read
Most online information about GLP-1 drugs is based on Western bodies. Asian genetics differ — including the "Skinny Fat" phenotype that affects roughly one in three Thai patients we see. Here's what the data shows.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
6 min read
Two molecules dominate the medical weight loss conversation. They are not identical — and the differences matter. This guide combines the published evidence with what we observe in our own patient cohort, where over half are foreign nationals.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
7 min read
Patients who lose 15-20% of body weight on GLP-1 medications often ask the same question around month 5: "Is the skin going to bounce back?" The truthful answer involves age, genetics, rate of loss, and what aesthetic devices can and cannot do. Here's how we explain it.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อ
5 min read
BMI 26 in Bangkok is not BMI 26 in Berlin. Asian populations develop type 2 diabetes, fatty liver, and cardiovascular disease at significantly lower BMI than Western populations. Using the same threshold for both groups systematically under-treats the people most at risk.
Siam Clinic Weightloss Medical Team · Dr. Akkavich, M.D.
อ่านต่อPage 1 of 2 · 15 articles in total