Case 10 · Class 03 · 75 kg target
The Doctor Who Had Started Avoiding His Own Mirror.
He had spent his career treating patients and quietly losing authority over his own body. Knowledge was not the problem. Fragmented treatment was.
A 45-year-old physician had gained weight through night duties, erratic eating, and chronic stress. He understood obesity academically, but his own biology did not respond to textbook advice. The endocrine review showed insulin resistance, low testosterone relative to age and symptoms, visceral adiposity, and cortisol rhythm disruption. The plan used medical sequencing rather than punishment: sleep-window repair, appetite stabilization, insulin-
sensitivity correction, and careful follow-up. He lost 27 kg in seven months. His own words were simple: he did not need another lecture on calories; he needed someone to read the system.
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Patient Safety Note
This case is shared for education only. It describes care delivered under direct medical supervision following individualized investigation. This is not a protocol to self-administer and is not a guarantee of outcome. Medication decisions, including GLP-1 therapy, carry risks and require qualified supervision. Patients with diabetes should not alter their monitoring or treatment without medical guidance.