Depois da CanetaMedicine for life after weight loss and muscle gain.
You lost weight. Now what?

Your new body needs a new kind of care.

After significant weight loss, a new phase begins. It's time to look beyond the scale and understand your nutrition, body composition, muscle mass, strength, energy, sleep, labs, and lifestyle.

The new phase

The weight loss ended. The care didn't.

After a significant weight loss, it's common to have questions the scale alone can't answer.

How do I maintain my weight?

How do I avoid regaining the weight I lost?

Am I eating enough protein?

How is my muscle mass doing?

Did I lose fat, or did I also lose muscle?

Do I need to check my vitamins and minerals?

How are my labs?

How can I improve my energy?

How do I get back into, or start, exercising?

How do I organize my eating?

How do I handle my new relationship with food?

How do I build habits that last even after the medication?

The goal isn't simply to keep losing weight. It's to learn to live well in your new body.

Beyond the scale

Your weight tells a story. But not the whole story.

Body composition

The relationship between body fat, muscle mass, and weight.

Nutrition

Food intake, protein, micronutrients, and overall nutritional adequacy.

Labs

Individualized investigation of lab abnormalities, when clinically indicated.

Muscle mass

Strategies to preserve or rebuild muscle mass and strength.

Exercise

Guidance for an activity routine that fits your reality.

Sleep and recovery

Habits that affect energy, recovery, and quality of life.

Behavior

Building sustainable habits for this new phase of life.

Weight maintenance

Individualized strategies to reduce the risk of regain.
Featured

Sarcopenia after 40: why preserving muscle mass may mean living longer

Starting in your 40s, the body loses muscle mass every year — and the pace accelerates with age. Here's why fighting that loss is one of the most important health decisions after 40.

Read the full article

Hormone replacement in patients after age 60

After age 60, testosterone tends to decline progressively — with a direct impact on muscle mass, bone density, mood, and sexual function. Here's what major international studies show about benefits, risks, and when replacement is actually indicated.

Read the full article

Chronic insomnia: the silent risks to body and mind

Sleeping poorly isn't just next-day tiredness. Chronic insomnia is associated with higher risk of weight gain, hypertension, type 2 diabetes, high cholesterol, cardiovascular disease, and worse mental health. Here's what international medical literature shows.

Read the full article

Hair loss after weight loss: what the science shows

It's one of the most common — and most distressing — complaints after significant weight loss, especially with weight-loss medications. Here's what international medical literature shows about why hair falls out, what studies say about the link with these medications, and when to seek evaluation.

Read the full article

Loss of libido: when and why it happens, in men and women

Declining sexual desire is one of the most common — and least discussed — complaints in medical practice. Here's what large population studies show about which age group it's most frequent in, and the main causes in men and women.

Read the full article

How long it takes the brain to 'accept' that you've lost weight

Why doesn't the fear of stopping weight-loss medication and regaining the weight disappear along with the weight itself? Science shows the body and mind update at different speeds — and more slowly than most people assume.

Read the full article
This care is for you if…

Who Depois da Caneta is for

Lost significant weight using weight-control medications
Reached your goal weight and don't know how to maintain it
Are worried about regaining weight
Noticed a drop in strength or muscle mass
Are struggling to eat adequately
Want to assess your health after major weight loss
Want to understand your labs after weight loss
Want to build a healthy, sustainable routine
Don't want to depend on the scale alone anymore
Want individualized medical follow-up after weight loss
The method

The Depois da Caneta Method

01

Understand

Your weight-loss history, medications used, and the changes that occurred.

02

Assess

Individualized clinical assessment and definition of relevant lab work.

03

Investigate

Identifying possible nutritional inadequacies and lab abnormalities.

04

Preserve

Focus on body composition, muscle mass, strength, and metabolic health.

05

Transform

Building habits around nutrition, exercise, sleep, and behavior.

06

Maintain

Individualized strategies for weight maintenance over time.

See the full method
Your body changed. Your care needs to change too.

Medical care dedicated to the post-weight-loss phase

A physician for over 22 years, radiologist board-certified (RQE) in ultrasound and Doppler, with medical residency at Santa Casa de Misericórdia de São Paulo and Hospital Israelita Albert Einstein, full member of the Brazilian College of Radiology (CBR). Independently studied in sports nutrology, endocrinology, and hormonal modulation, without a specialist title in those fields, with a practice dedicated to supporting patients in the post-weight-loss phase.

Learn about the approach

You've already reached your new weight. Now, take care of your new body.

Weight loss may have been the start of the transformation. The next step is building a healthy life you can actually maintain.

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