Endocrinologist-led care for weight that keeps coming back.
American Board-Certified Endocrinologist · ★ 4.9 · 202 Google reviews · 20+ years
Diets. Nutritionists. Calorie counting. Maybe keto, a GLP-1, or a gym routine that worked for a while.
The problem was not you.
Hormones, sleep, stress, insulin, and medications may all be part of why the weight stays.
The medical reframe
Hunger, regain, cravings, fatigue, waist change, and medication history are signals. Dr. Roshani looks for the medical pattern behind them.
When the pattern is clear, the next step becomes clearer. The first move is not another rule. It is reading the signals together.
Dr. Roshani has seen the same pattern for years.
A diet changes what is eaten. A GLP-1 changes appetite. Exercise changes strength. The weight still comes back when hunger, sleep, stress, medications, and insulin resistance are not addressed together.
She started prescribing GLP-1 medications in 2005, when exenatide came on the market. Appetite went down. Weight went down. Then patients stopped the medication and the weight often came back.
That same period, she was diagnosed with prediabetes herself.
“Being an endocrinologist did not teach me about a low-carb way of life. I just wasn't aware.”
She trained in motivational interviewing under Dr. William Miller, who co-founded the method. She trained in mindful eating and exercise coaching.
Applied to medical weight management, it means Dr. Roshani and her team decide what needs to change first — then what your body can sustain next.
01
Labs, medications, thyroid function, insulin resistance, sleep, stress, food, movement, waist, and history are read together, not as separate problems.
02
For many patients, the first move is not eating less. It is eating enough of what steadies hunger, energy, and insulin response.
03
Nutrition, sleep, stress management, and exercise are not thrown at you all at once. The next lever comes when your body can hold it.
04
A GLP-1 may be appropriate for some patients. For others, it may not be the first move. Either way, medication is supervised in context.
05
You learn how to make food, travel, exercise, medication, and relapse decisions with your own data instead of following a chart forever.
Bring your labs, medication list, and the story of what has already been tried.
Some patients come after years of failed diets. Some come after medication. Some come after surgery has already been discussed.
These are named patient accounts from the Reisaan program. They show what changed for those patients; they are not a promise of the same outcome.
Shirin
Weight management
40 kg lost · Bariatric surgery cancelled
“By the time I reached your clinic, I had given up on myself. I couldn't go a minute without thinking of what I'm going to be eating next. Food was my best friend — it became just my crutch when I was feeling stressed.”
The biggest shift was from saying 'I have to lose weight' to 'I want to.'
Dhaval
Weight · Obesity-related health problems
Bariatric surgery had been recommended · Maintaining independently for 2+ years
“I was ready to do anything to avoid surgery. In three months I was never asked about how much weight I lost. Rather I saw for myself that my pain reduced, overall swelling reduced, pre-diabetes has been reversed.”
“Unlike diet plans that end, I've learnt to take charge and create a sustainable lifestyle.”
Mansi
Weight · Hypothyroidism
Reported stopping thyroid medication in 3 months · Inch loss
“Initially it was frustrating because we Indians are used to being spoonfed. But as I navigated this 3-month journey I realised how confident and independent I feel about deciding what food I want to eat.”
“I feel more confident taking on any challenges in life including motherhood — which personally has always been very scary for me.”
The clinical program runs online for 3 months, with 8–10 video consultations and weekday Telegram support.
30 minutes with Dr. Roshani, in person in Mumbai or online by video. Her team reviews your lab reports, medications, lifestyle details, and health history before you meet.
An assigned coach manages each session and tracks progress between calls. Dr. Roshani joins alternate consultations to review progress, labs, symptoms, and medications.
Dr. Roshani explains what is happening in your body and what to do about it. You get 3 months of access during the program.
Track food, sleep, exercise, stress, weight, and mood daily. Your data feeds into the clinical record, with Monday-to-Friday Telegram support during the program.
In India, Dr. Roshani manages medication directly once the program starts. Internationally, she provides clinical guidance to coordinate with your local physician.
Program chat support ends when the program ends. Maintenance options and free live teaching sessions are available for patients who want continued clinical support.
If you have been told to start Ozempic or Wegovy — or you are already on one and not sure what comes next — this is a conversation Dr. Roshani has often.
These medications work. She prescribes them when they help. She also supervises tapering when the data and clinical picture support it.
Most patients on a GLP-1 were never given an off-ramp plan. Dr. Roshani looks at whether one is possible.
The medical and lifestyle review comes first. What has not been addressed yet?
The drug can buy a window. While it lowers appetite, the body builds the habits and metabolic health that need to hold later.
Any taper is supervised, gradual, and guided by data. The question is what the body can maintain on its own.
Most programs start with instructions. Dr. Roshani starts with the medical pattern: what is driving hunger, regain, fatigue, medication risk, and the feeling that your body is not responding.
As an endocrinologist, she can review labs, interpret metabolic markers, and adjust medication when clinically appropriate. You are not handed a chart to follow forever. You learn to make food decisions for work, travel, weddings, and normal life.
No. Some patients arrive after years of severe weight gain, or after surgery has been discussed. Others come earlier — when weight, waist, insulin resistance, thyroid, PCOS, fatty liver, or family history first starts showing a pattern.
Dr. Roshani reviews the full picture and helps each patient see what may be driving the weight in their case.
Dr. Roshani cannot give you a number before she sees your labs, history, medications, and what is driving the weight.
The team does not chase the scale alone. Inches, energy, sleep, hunger, strength, and lab markers matter too. When those start moving, the scale usually becomes a more honest signal.
Yes. Many Reisaan patients are vegetarian, Jain, eggetarian, or vegan. The work starts with your kitchen, your preferences, and what you can actually repeat.
Vegetarian weight management usually needs more planning, especially around protein and hunger. It may take a little longer. But no food group is eliminated by default.
Many patients first notice hunger, energy, bloating, or sleep changing within days or weeks. Measurable changes in weight and blood work usually take longer.
The program is 3 months because Dr. Roshani is not trying to force a quick drop. She is looking for a pattern your body can keep repeating.
Any GLP-1 taper needs medical supervision, a gradual plan, and enough metabolic support underneath it. Dr. Roshani reviews what comes before, during, and after medication so appetite suppression is not the only thing holding the weight down.
For some patients, a GLP-1 may be appropriate. For others, it may not be the first move. The consultation is where that judgment starts.
Dr. Roshani still starts with the medical review.
A GLP-1 can lower hunger while a patient is taking it. But if sleep, stress, muscle, insulin resistance, food patterns, and medications were not addressed at the same time, weight can return when the medicine changes.
The First Consultation surfaces what was missed and what to work on now.
Yes. A nutritionist or dietitian can guide food choices. Dr. Roshani can also review labs, medications, insulin resistance, thyroid function, sleep, stress, and medical risk.
That matters when weight is tied to prediabetes, PCOS, fatty liver, thyroid medication, GLP-1 decisions, or repeated regain.
Eating less can fail when hunger, insulin resistance, sleep loss, stress, medication effects, or low protein intake are working against you.
Dr. Roshani looks for the pattern. The goal is not to keep cutting food. It is to understand why your body keeps storing, craving, slowing down, or regaining.
If you live in India, Dr. Roshani manages medication directly once the program starts.
If you live outside India, she provides clinical guidance for you to discuss with your local physician. You still need a local doctor for prescriptions, physical examinations, urgent symptoms, and in-person care.
No. The Reisaan app is built around carbs, protein, hunger, and patterns — not calorie counting.
For many patients, the important shift is not eating less. It is feeling full enough to stop fighting food all day.
During the program, you have weekday Telegram support with your assigned team. That is where you ask the practical questions that come up between consultations: a meal, a reading, a travel day, a medication concern.
Program chat support runs Monday to Friday and ends when the program ends. Maintenance options are available if you want continued clinical support.
People of South Asian origin can develop insulin resistance, fatty liver, and metabolic risk even at what looks like a normal weight.
That is why Dr. Roshani does not treat weight by BMI alone. She looks at the full metabolic picture: waist, labs, medications, sleep, stress, hunger, strength, and family history.
A First Consultation with Dr. Roshani is a medical review of your labs, history, medications, hunger, sleep, stress, and what has already been tried.
First Consultation: in person in Mumbai or online by video
