HELMLongevity
HELM · Services · Metabolic health

Metabolic health. Medical assessment of weight, blood lipids, and blood sugar.

For those who need help with weight loss, lowering blood lipids, and improving blood sugar control. Everything in the Health Assessment plus AMRA: an MRI-based measurement of visceral fat, liver fat, and muscle volume. A 60-minute review with a decision on treatment, a plan where lifestyle measures are the foundation and medication is added when warranted, and a phone follow-up after one month.

Price14,900 SEK
FormatMRI approx. 10 min · 60 min video · phone 30 min
Total timeAbout 6 weeks including follow-up
What it is

Insulin resistance and visceral fat show up long before a diagnosis.

Insulin resistance, fat in the liver, and fat around the organs develop over many years before blood sugar or weight raises the alarm. Two people of the same weight can have entirely different risks depending on where the fat sits and how much muscle carries it. The assessment therefore measures what weight and BMI do not show.

The blood tests are analyzed from a functional medicine perspective: fasting insulin and HOMA-IR, HbA1c, liver tests, blood lipids including ApoB and Lp(a), inflammation, and hormones, to find the imbalances behind the pattern and not just rule out disease. AMRA adds the picture of the body from within: excess fat that accumulates around and in your organs, in the liver and in the muscles, and your muscle volume, measured by MRI in a three-dimensional image that can be followed over time. Muscle mass is one of the most important factors for your future health.

Muscle mass is the most important thing to protect in any weight change, and especially if medication becomes relevant: when weight drops quickly, a significant share can be muscle if training and protein intake are not prioritized. That is why it is measured before any decision is made, and why it is followed afterwards.

The 60-minute review results in a decision. The lifestyle plan, with strength training as a priority, diet, and sleep, is always the foundation. Medical weight treatment can be warranted as an addition, after assessment, and is then followed within the Long-term health plus membership. Lipid-lowering treatment and treatment of blood sugar are followed within Long-term health. One month after the visit we check in by phone, and that is when you choose how to continue.

We prepare everything, you choose the time. The blood draw is drop-in at Synlab, and once the referral to Evidia is in, you choose a time that suits you. The AMRA scan is currently offered in Stockholm, Göteborg, or Lund.

Who it’s for

When does the assessment fit?

For those who want a medical basis before deciding how weight and metabolism should be managed.

01

Your weight is creeping up even though you are doing the right things

Your waist circumference is growing and your energy is dropping despite the same habits as before. The investigations help assess whether it is the insulin, the liver, the hormones, or the combination, and what can be influenced.

02

You are considering medical weight treatment

You want to know whether medical treatment is right for you. The decision is made after measurement and assessment, and the treatment is followed up with monitoring of muscle mass.

03

Your blood values are abnormal

Blood sugar or blood lipids that have been off. You want to know what is behind it and what can be influenced, before it becomes a diagnosis.

What’s included

In the price.

Everything in the Health Assessment is included
  • Blood draw · Over 50 blood markers at Synlab, with fasting insulin, HOMA-IR, HbA1c, liver tests, ApoB, Lp(a), inflammation, and hormones
  • Health questionnaires · Two questionnaires on your history, lifestyle habits, sleep, family history, and goals
  • AMRA · MRI-based measurement of visceral fat, liver fat, and muscle volume at Evidia, approximately ten minutes, without radiation or contrast. I send the referral; you choose the time.
  • Home blood pressure · Measured at home according to instructions, feeding into the basis for the decision
  • Video visit · 60 minutes with me: the values, the picture of the body from within, and the decision
  • Treatment decision · A decision on treatment when it is warranted: medical weight treatment, lipid-lowering treatment, or treatment of blood sugar. Starting the treatment is included; the follow-up after that takes place within the membership.
  • Phone follow-up after one month · 30 minutes: how the treatment is tolerated, how the plan is working, and a decision on how to continue. Long-term health plus for weight treatment, Long-term health for other treatment, or no follow-up at all.
  • Written plan · A personalized plan with strength training as a priority, diet, sleep, and any treatment
About medical weight treatment

When medication is warranted.

Medication for overweight can be a well-founded choice for the right person and wrong for another. My task is to assess which applies to you. I prescribe when, for you specifically, the benefit outweighs the risk, according to the current indication and with follow-up according to guidelines, and I advise against it when the evidence speaks against it. The decision is made in the review, based on your lab values, your body composition, and your history.

The lifestyle intervention in the health plan is always central, with or without medication: strength training to preserve muscle, protein intake, sleep, and diet. If we choose treatment, it is followed properly: a phone follow-up after one month, a check-in every three months with body composition, follow-up labs at three and six months, and AMRA when it adds something, all within the Long-term health plus membership. Ongoing treatment requires follow-up, which is why it is not offered as a one-off purchase.

Treatment with medication takes place only after an individual medical assessment. The content of this page is information about the healthcare service, not marketing of any medicinal product.

Practical

How it works.

  1. You book and receive a confirmation, health questionnaires, and instructions for home blood pressure.
  2. Blood draw at Synlab on a drop-in basis, fasting in the morning.
  3. AMRA at Evidia once the referral is in; you choose the time, the scan takes approximately ten minutes.
  4. I analyze the lab results, the AMRA report, blood pressure, and questionnaires before we meet.
  5. Video visit, 60 minutes, about a week after the AMRA scan, with a treatment decision.
  6. The health plan arrives in writing, and any treatment is started.
  7. Phone follow-up about four weeks after the visit, 30 minutes. That is when you choose how to continue: Long-term health plus for weight treatment, Long-term health for other treatment, or no follow-up.

The video visit takes place wherever in Sweden you live. The AMRA scan is currently offered via Evidia in Stockholm, Göteborg, or Lund.

Frequently asked questions.

Do I get medication right away?

No. The assessment is a basis for decision. If medical weight treatment is warranted for you, it is started after the review, followed up by phone after one month, and then continues within the Long-term health plus membership, never as a one-off purchase. The follow-up is part of the treatment.

What is AMRA and how is the scan done?

AMRA is a method for mapping and quantifying the body’s fat distribution and muscle volume using MRI. It gives a three-dimensional picture of visceral fat, fat in the liver and in the muscles, and muscle volume, which can be followed over time. MRI is the reference method for body composition; bioimpedance scales such as InBody estimate the same thing indirectly. The scan is done without radiation and without contrast at Evidia, takes approximately ten minutes, and is analyzed by AMRA Medical, whose method is used in large population studies. I send the referral, you choose a time that suits you.

Is the assessment suitable for men?

Yes. Metabolic ill health affects both men and women, with partly different patterns, and the panel has a male and a female version. If you are a woman in or around menopause, Health through menopause may be the right starting point instead, and we can discuss which suits you best in a phone consultation.

I am not overweight but have poor blood values. Is this still the right assessment?

Often, yes. Visceral fat and liver fat do not show on the scale, and insulin resistance often precedes both weight and blood sugar by many years. That is what the assessment is designed to detect.

What does it cost after that?

The phone follow-up after one month is included. If you continue with medical weight treatment, the Long-term health plus membership costs 2,450 SEK/month and includes the follow-up: a check-in every three months with body composition, follow-up labs, an annual check-up with the full panel, and AMRA as an add-on for 5,500 SEK when it adds something. Lipid-lowering treatment and other stable treatments are followed in Long-term health for 1,950 SEK/month. You collect medication at the pharmacy and pay for it as usual; it is never included in the fee.

See all FAQs →
I sought help from Dr Helm due to weight gain. When I did an InBody scan, the situation became clear in a concrete and motivating way. I was given a structured plan with lifestyle advice that was easy to follow, along with treatment introduced where it was clinically indicated. The whole approach felt well thought out and tailored to me as an individual, giving me both insight and direction.
Kristina
Next step

Ready to book the assessment?

Book directly online. You receive instructions for the blood draw, home blood pressure, and health questionnaires by email.