- **Unstable glucose control:** Frequent variations may require reviewing medication, nutrition, monitoring, adherence, sleep, and other influencing conditions, before making decisions.

Separate specialist care can hinder a common plan for weight, glucose, blood pressure, lipids, and complications, before making decisions.

Evaluation must consider apnea, fatty liver, joints, fertility, heart, and mental health — not just weight alone, before making decisions.

Eligibility depends on medical criteria, risks, preparation, expectations, and capacity for prolonged nutritional follow-up, before making decisions.

Kidney, retina, nerves, and cardiovascular system may require coordinated checks based on age, duration, and diabetes control, before making decisions.

A structured program can help translate recommendations into measurable habits, though results vary between individuals, before making decisions.

- **Diabetes with difficult control:** Individuals with elevated HbA1c, hypoglycemia, variability, or multiple adjustments wanting a structured review, for individual physician evaluation.

Patients with high blood pressure, fatty liver, apnea, joint pain, or cardiovascular risk seeking integrated care, for individual physician evaluation.

Individuals wanting a formal evaluation of eligibility, risks, preparation, and follow-up after metabolic surgery, for individual physician evaluation.

Patients interested in reviewing continuous monitoring, pumps, or other tools subject to indication, availability, and training, for individual physician evaluation.

Individuals with renal, retinal, neurological, or cardiovascular changes needing coordination between specialties, for individual physician evaluation.

Adults with sedentary lifestyle, stress, insufficient sleep, and altered markers seeking an intensive and practical evaluation, for individual physician evaluation.

- **Comprehensive endocrine review:** May integrate glucose, hormones, weight, medications, family history, and factors making control difficult, according to individual physician evaluation.

May combine nutrition, activity, behaviour, and medications when indicated and available under supervision, according to individual physician evaluation.

May review eligibility, potential technique, anaesthetic risk, nutritional preparation, and long-term follow-up requirements, according to individual physician evaluation.

Continuous monitoring, pumps, or technology education may be explored, subject to indication, compatibility, and availability, according to individual physician evaluation.

May coordinate retina, kidney, nerve, liver, and heart checks based on the risk profile, according to individual physician evaluation.

May include supervised activity, sleep, nutrition, and measurable goals adapted to mobility, work, and food culture, according to individual physician evaluation.

- **Case reception:** We collect diagnosis, goals, history, travel restrictions, and questions via form, email, WhatsApp, or document upload, with scope agreed in advance.

We review legibility, dates, coherence, and missing items to avoid presenting an incomplete record to an institution, with scope agreed in advance.

We translate the priority documents that the specialist or hospital needs to understand the case, with scope agreed in advance.

We prepare a concise timeline with findings, interventions, response, current medications, and still-pending decisions, with scope agreed in advance.

We research potentially relevant departments, institutions, and specialists without claiming formal collaboration or guaranteed access, with scope agreed in advance.

We deliver possible pathways, requirements, questions, limits, steps, and logistical considerations adapted to the information received, with scope agreed in advance.

We can organize a paid consultation with a Chinese endocrinology or metabolic medicine specialist, subject to acceptance, availability, documentation, and scheduling.

If the case advances, we coordinate appointments, interpretation, admission, mobility, documentation, and post-care support according to the contracted service, with scope agreed in advance.