A dedicated obesity medicine clinic. A medical doctor, dietician, and clinical psychologist — working as one team, on one plan, for you. Guided by the 2025 international obesity treatment guidelines.
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A comprehensive medical assessment — blood panel, metabolic profile, and a detailed conversation about your history and goals.
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Medical, nutritional, and psychological support working as one — adjusting your plan as your body and mindset evolve.
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Sustainable weight management and metabolic health — not a finish line, but the beginning of your strongest chapter.
Aligned with the latest international obesity treatment guidelines
Beyond the Scale brings together a medical doctor, registered dietician, and clinical psychologist who share patient records, hold joint case reviews, and produce one integrated treatment plan — for every patient.
This is not a referral chain. It is a genuine multidisciplinary model, bringing the standard of care found in leading international obesity centres to Mpumalanga.
You see all three specialists. Records travel internally — no repeated history-taking.
Medical, nutritional, and psychological goals are fully aligned and reinforce each other.
We measure success in years of sustained improvement, not short-term kilograms lost.
Each brings deep clinical expertise. Together, they produce care no single clinician could.
Leads clinical assessment, metabolic investigation, and risk stratification. Oversees all pharmacotherapy — including GLP-1 receptor agonist protocols — ensuring every decision is safe and evidence-based.
Translates nutrition science into personalised medical nutrition therapy. Designs plans that complement your medical and psychological care — and adapts them as your journey evolves.
Addresses the psychological drivers of weight — emotional eating, behavioural patterns, body image, and the barriers to lasting change — using CBT and ACT approaches validated for obesity.
A structured process built on cross-referrals, joint MDT meetings, and one integrated treatment plan. Every patient benefits from the full expertise of the team.
Start Your Journey
A full clinical evaluation — metabolic blood panel, body composition, cardiovascular risk, and medication review. This forms the clinical foundation for your plan.
You are referred — within the same clinic — to the dietician and psychologist. Records transfer internally, with no need to repeat your full history to each clinician.
All three specialists review your case together — aligning on goals, identifying priorities, and co-designing a coordinated treatment plan. You are represented even when not present.
One unified document — combining medical management, nutritional therapy, and psychological support. All three specialists share the same goals and milestones.
Regular multidisciplinary reviews adapt your plan as your body, lifestyle, and health evolve. We track clinical outcomes — not just the number on the scale.
GLP-1 receptor agonists are a significant advance in obesity treatment. We prescribe them carefully, supervise them closely, and embed them in a full multidisciplinary programme.
Administration device
GLP-1 receptor agonists such as semaglutide (Ozempic, Wegovy) and liraglutide (Saxenda) are administered via a pre-filled, disposable KwikPen. The pen is simple to use, requires no mixing, and delivers a precise subcutaneous dose — typically once weekly or once daily depending on the agent.
GLP-1 receptor agonists mimic the gut hormone GLP-1 — reducing appetite, slowing gastric emptying, and improving insulin sensitivity. They produce clinically significant, durable weight reduction when used alongside lifestyle intervention.
Not every GLP-1 agent suits every patient. Our medical director selects the appropriate medication — semaglutide, liraglutide, or tirzepatide — based on your metabolic profile, comorbidities, and goals, per 2025 pharmacotherapy guidelines.
GLP-1 therapy changes how you eat. Our dietician designs a nutrition plan that accounts for reduced appetite, ensures micronutrient adequacy, optimises protein to preserve lean mass, and prevents common nutritional side effects.
Appetite suppression can surface emotional eating patterns. Our psychologist works alongside the medication to address these dynamics, build lasting habits, and help patients sustain their results beyond pharmacotherapy.
GLP-1 therapy is prescribed only where clinically indicated, following thorough medical assessment. All pharmacotherapy is supervised by our medical doctor and reviewed at every joint MDT meeting. We do not prescribe GLP-1 medications as a standalone cosmetic weight-loss service.
"Obesity is a complex, chronic, relapsing disease — not a character flaw. Our commitment is to treat it with the same rigour, compassion, and multidisciplinary excellence that any serious chronic condition deserves."
— The Beyond the Scale Clinical Team, Mbombela
Real experiences from patients across Mpumalanga who chose a more complete approach to their health.
"For the first time I felt like I was being taken seriously. My doctor, dietician, and psychologist all knew what each other was doing. That coordination made all the difference."
"I had tried everything before. What was different here was that they treated the reasons I was struggling, not just the weight itself. The psychology sessions were something else."
"The GLP-1 pen was explained to me step by step and monitored carefully. The whole team supported the process — I never felt alone in it."
"The dietician adapted my eating plan every time something changed. It felt genuinely personalised — not a generic hand-out. I finally understand my body."
"There was no judgment — only support. The psychologist helped me understand my relationship with food in a way nothing else had. Life-changing."
"Finally a clinic in Mpumalanga that doesn't treat obesity as a personal failing. The team communicated and I felt cared for — not just managed."
Our programmes are structured around your journey. Contact us directly for full pricing details — we will find the right fit for your goals and circumstances.
Contact us for pricing.
Medication billed separately. Contact us for pricing.
We don't just refer — we collaborate. Joint meetings mean every specialist shares your goals and your progress.
Our protocols follow the latest EASO, AACE, and Obesity Society evidence — not outdated approaches to weight management.
You will never be shamed here. We practice weight-inclusive, compassionate medicine — only support, respect, and science.
World-class obesity medicine right here in Mpumalanga — no need to travel to Johannesburg for specialist care.
We are a clinical practice — not a wellness centre. Your safety and long-term health outcomes always come first.
We measure success over years. Our goal is sustained health improvement — not a short-term number on the scale.
Answers to the questions we hear most often — honest, clinical, and specific to how we work in Mbombela.
Eligibility is determined during your initial in-person consultation with Dr Mothapo. Generally, GLP-1 therapy is considered for adults with a BMI of 30 or above, or a BMI of 27 or above in the presence of a weight-related condition such as type 2 diabetes, hypertension, or sleep apnoea. A full medical history, examination, and blood panel are completed before any prescription is issued — there are no shortcuts.
The GLP-1 receptor agonists we prescribe — semaglutide and tirzepatide — are SAHPRA-approved, extensively studied, and non-habit forming. They have been used in clinical practice for over a decade. As with any medication, there are contraindications and potential side effects, which is why our prescriptions are preceded by thorough assessment and followed by regular medical reviews.
The most common side effects are gastrointestinal — nausea, mild constipation, or reduced appetite — and are most pronounced in the first few weeks as your body adjusts. These are managed through careful dose titration: we start low and increase slowly. Most patients find that symptoms resolve within two to four weeks. If they don't, we adjust your dose or management plan. You are never left to manage side effects alone.
No. Medication is one tool — not a requirement. Patients who prefer, or who are not candidates for, GLP-1 therapy can engage fully with our dietetic and psychological support pathways. A significant number of our patients achieve meaningful, sustained results through nutrition, behavioural coaching, and lifestyle restructuring alone. Your programme is built around your needs, not a fixed formula.
Your first appointment is a comprehensive 60-minute assessment with Dr Mothapo. This includes a full medical history, BMI and body composition review, cardiovascular and metabolic screening, and discussion of your weight history, goals, and previous treatment attempts. Where indicated, a blood panel is ordered. From this, a personalised treatment plan — spanning medical, dietetic, and psychological support — is developed and discussed with you in full.
Obesity is a complex, multisystem disease. A doctor alone manages the medical dimension; a dietician alone addresses nutrition; a psychologist alone works on behaviour. At Beyond the Scale, all three disciplines collaborate on a single shared plan — and they communicate with each other, not just with you. This integration is what makes outcomes different. It is the same standard of care recommended in the 2025 international obesity treatment guidelines.
Stopping abruptly is not recommended. Dr Mothapo develops a gradual tapering plan that gives your metabolic systems time to adapt, reducing the risk of rebound weight gain. This is supported simultaneously by your dietetic and psychological teams, who strengthen the behavioural and nutritional foundations that will sustain your results long after medication is discontinued.
Yes. Follow-up medical reviews, GLP-1 dose reviews, dietetic consultations, and psychology sessions can all be conducted via secure video call through the patient portal. Your initial assessment with Dr Mothapo is in person at our Mbombela rooms — this allows us to complete the physical examination and baseline investigations that a screen cannot replace. All subsequent appointments can be in-person or telehealth, depending on your preference and clinical need.
Answer two quick questions for a personalised indication. No personal data is stored or submitted.
Step 1 of 2
Enter your weight and height to see where you fall on the clinical scale.
Step 2 of 2
Select all that apply. This helps us tailor your result to current clinical guidelines.
Complete the form and our team will contact you within one business day. All enquiries are strictly confidential.
Kiaat Medical Suites, 1st Floor, Suite 26A
Drumrock R40 Road
Mbombela, 1200
Mpumalanga, South Africa
+27 (0)87 285 8400
076 732 1684
info@beyondthescaleclinic.co.za
Mon – Fri: 08:00 – 17:00 · Sat: 08:00 – 13:00