Precision and regenerative medicine · Metabolic health
Metabolic diseases and metabolic health
We investigate the factors driving your metabolic health problems. Blood sugar, blood pressure, weight changes, nutritional status and everyday habits guide an individual plan and follow-up over time.
Free first consultation · 45 minutes · No referral
With Dr Christina Biri, at Banérgatan 10 in Stockholm or online. Any tests, follow-up visits and treatments are optional and priced separately.
Already a patient? Book a follow-up
What happens at the assessment?
- Your history and goals. Symptoms, weight history, previous investigations, medicines, family history and what you want to change.
- Relevant measurements. Existing blood pressure and laboratory results first. HbA1c reflects average blood sugar over recent months. Additional tests or measurements are selected only when they can inform the clinical question.
- A proposed programme. Together, we discuss a plan that fits your health needs and everyday life.
- Follow-up in context. We agree how symptoms, everyday function and relevant measurements will be evaluated. Care is coordinated with the treatment you already receive.
What are metabolic diseases?
Metabolic diseases affect how the body processes and uses energy and nutrients. This page focuses on common metabolic concerns in adults: overweight, insulin resistance, prediabetes, type 2 diabetes and the combination of blood sugar, blood pressure and blood lipid changes known as metabolic syndrome.
These problems often overlap. Abdominal fat, insulin resistance, high blood pressure and blood lipid changes can reinforce cardiovascular risk. The assessment looks for the relevant connections in your case; a shared pattern does not establish a single cause or mean that everyone needs the same treatment. NHLBI: metabolic syndrome.
How GCR guides metabolic care at MediBalans
Global Constraint Rule (GCR) is MediBalans’s clinical framework, developed by Dr Mario Anthis. It starts with a practical question: which testable limitation may be holding back this person’s recovery? We use the framework to organise observations, prioritise clinical questions and choose the order of investigation and action.
- Map the whole pattern. Weight and waist, glucose control, blood pressure, blood lipids, sleep, recovery and relevant symptoms are considered together.
- Prioritise a testable question. We assess which factors may be primary and which could be consequences or adaptations. Clinical history and established diagnostics inform the interpretation.
- Choose the next step. Measurements and actions are selected to answer the prioritised question. The findings guide an individual programme when one is appropriate.
- Follow the outcome and reconsider. We define what should change and when to review it. If the expected improvement does not occur, the interpretation and plan need to be reassessed.
GCR is a clinical working model, not a separately validated diagnostic test. It supports clinical reasoning alongside ordinary medical assessment. Read the GCR framework · Dr Mario Anthis.
Common concerns we consider together
Overweight and abdominal weight gain
We consider weight history, waist measurement, body composition when relevant, eating patterns, movement, sleep and medicines. Weight is one part of the assessment, alongside function, symptoms and metabolic risk.
Prediabetes and insulin resistance
Insulin resistance means the body responds less effectively to insulin. Blood sugar can rise over time. Previous results, risk factors and established blood tests help guide the assessment.
Type 2 diabetes
Bring your diagnosis, current medicines and recent results. We discuss goals and possible programme support alongside your regular diabetes care. Medication decisions and routine complication checks remain part of coordinated medical care.
High blood pressure and blood lipids
Blood pressure and blood lipids matter even when you feel well. We consider repeated measurements, previous results and other risk factors together; one isolated value does not describe the whole picture.
Low HRV and recovery
HRV describes variation in the time between heartbeats. A low value can prompt discussion of recovery and autonomic function, but does not by itself diagnose metabolic disease or identify its cause.
Healthspan and prevention
You can also come to discuss maintaining function and reducing metabolic risk before daily life is substantially affected. We define meaningful goals and how progress could be followed.
How we follow progress
The follow-up question is whether your health and everyday function improve. Depending on the clinical question, we may follow symptoms, waist and weight, blood pressure, HbA1c, blood lipids and body composition. The clinic currently uses InBody 380 for body composition. HRV can add context when the measurement method and conditions are documented. We agree which measures are meaningful for you and when to review them.
The existing 50-patient report
MediBalans’s existing healthspan report describes an internal series of 50 patients with mixed clinical conditions, including metabolic syndrome, hypertension and type 2 diabetes. It reports observations from routine care, not a separate controlled study of metabolic treatment.
Questions about metabolic health
Who will I meet at the first consultation?
Dr Christina Biri takes initial consultations. Dr Mario Anthis works with results reviews and follow-up. The booking page also lets you send a request for an initial appointment with Mario.
Can I have metabolic consultations and follow-up online?
Yes. International patients can start with a free 45-minute video consultation in English and continue with planned online follow-up. Have previous results and your medication list ready. If testing or an examination is needed, we confirm arrangements for your location before ordering.
How does MediBalans use GCR for metabolic concerns?
GCR structures how the clinic considers the overall pattern, prioritises testable limiting factors, chooses the next step and reviews the outcome. It is MediBalans’s clinical working model, developed by Dr Mario Anthis, and is used alongside established medical assessment.
Do I need a diagnosis or referral before booking?
No referral is needed. You can book with an established diagnosis, previous abnormal results or questions about weight and metabolic health. We review your situation and discuss an appropriate next step.
Does low HRV mean I have a metabolic disease?
No. Low HRV is not, on its own, a diagnosis of insulin resistance, diabetes or metabolic syndrome. Its interpretation depends on how it was measured and the clinical context. We consider it alongside symptoms and other findings.
Does the programme replace my diabetes or blood pressure treatment?
No. Existing diabetes and blood pressure care needs to continue. We discuss any proposed programme in the context of your current treatment and coordinate medical decisions with the relevant care providers.
When several symptoms overlap
If gut symptoms or fatigue are also part of your situation, bring them into the same consultation. Read about IBS and gut health, persistent fatigue and online assessment and follow-up.