Dr Tvacha: Hair, Skin, Slimming, Anti-Ageing
The Endgame Weight Programme · Online, all-India

Most Plans Start With The First Dose. Ours Starts With The Last One.

Dr Amit Karkhanis · Aesthetic Physician · Dr Tvacha, Thane, since 2005

Doctor-led medical weight loss you can do from home, anywhere in India. Your dose, your protein and your strength training are managed together, and the plan for coming off treatment is written before you begin.

Endgame First
— Dose Protein Strength Exit plan

Lost It Before? Got It Back?

Let's Plan The Part Nobody Plans

the stopping. that is where most weight comes back.

Why The Weight Comes Back.

Nobody planned the exit.Medicine is started, the weight drops, and one day it simply stops. Appetite returns, habits never changed, and the kilos follow.
Muscle was lost along with fat.Eat too little protein while losing weight and the body uses muscle as fuel. Less muscle means a slower metabolism and easier regain.
No doctor was watching.Hair fall, loose skin, low energy and side effects are easier to prevent than to fix. They need someone checking every month, not once.

It's A Triad, Actually.

Dr Amit's Triad Method manages three things together, every month. Change one without the other two and results rarely last.

01DoseMedicine, where suitable, prescribed after an assessment and adjusted at each monthly review, then tapered on a written schedule.
02ProteinA daily protein target built around Indian meals, vegetarian included, so you lose fat while protecting muscle, hair and skin.
03StrengthA simple strength routine you can do at home. Muscle is what keeps your metabolism up once the medicine stops.

Your Four Months, Month By Month.

  1. Week 0Eligibility consultRs 499, by video. History, current medicines and the tests you need. You get a yes, a no, or a not yet.
  2. Month 1Start, carefullyA low starting dose, your protein target, and a beginner strength routine. Our team checks in on WhatsApp.
  3. Months 2 to 3Adjust and protectMonthly reviews with Dr Amit himself. Dose, protein and training are adjusted; hair and skin are watched.
  4. Month 4The endgameA planned taper and a maintenance plan for the months after, so what you lost stays lost.

What Rs 30,000 A Month Includes.

  • Your medicine, where prescribed, for the month.
  • A monthly review with Dr Amit himself, not a junior or a coach.
  • A protein plan built on Indian food, vegetarian or not.
  • A home strength routine, updated as you get stronger.
  • WhatsApp support, with replies within two hours on working days.
  • Hair and skin checks, with Dr Amit's twenty years in both.
  • A written exit and maintenance plan, agreed in month one.

The Fees, Written Down.

Eligibility consultRs 499By video, from anywhere in India.
MonthlyRs 30,000Medicine included. Pay month by month.
Four-month courseRs 1,00,000Medicine included, for the full programme including the taper.

Tests, if needed, are charged at actual cost by the lab. Medicine is prescribed only after a doctor's assessment and only where medically suitable.

Made For You If…

  • You have lost weight before and got it back.
  • You are considering weight loss medicine but want a doctor in charge.
  • You worry about hair fall, loose skin or losing muscle.
  • You live outside Mumbai and need care by video.

Not For You If…

  • You want to lose a few kilos for one event.
  • You are pregnant, breastfeeding or planning a pregnancy soon.
  • Your medical history makes the medicine unsafe. The consult checks this.
  • You want medicine without reviews or follow-up.
Dr Amit Karkhanis

He Learnt The Endgame First. At Three And A Half.

Dr Amit Karkhanis started playing chess as a child and went on to play at the national level. In chess you study the ending before the opening, and that is how he plans weight loss: the last month is decided before the first.

He has run Dr Tvacha since 2005, and he has been through this programme himself before offering it to anyone else.

MBBS, Dip. Dermatology (UK) · Aesthetic Physician · Reg. No. 2001/02/1124

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Frequently Asked Questions

Is weight loss medicine safe?

For the right person, with a doctor monitoring, it is widely used. It is not right for everyone, which is why the eligibility consult reviews your history, current medicines and tests before anything is prescribed.

Which medicine will I be given?

That is decided by the doctor at your consult, based on your health and goals. We do not advertise or promise a specific medicine, and some people are advised against medicine altogether.

How much weight will I lose?

We do not promise kilos. Results vary with your starting point, your health and how closely you follow the protein and strength plan. Dr Amit will tell you what is realistic for you at the consult.

What happens when I stop?

The taper and maintenance plan is written in month one. You come off the medicine gradually, with protein and strength habits already in place, so the weight is far less likely to return.

Will I lose hair or get loose skin?

Fast weight loss with too little protein can cause both. Protecting muscle, hair and skin is built into the Triad, and Dr Amit checks them at every review.

I am vegetarian. Can I hit the protein target?

Yes. Your protein plan is built around Indian vegetarian meals, with options for dal, paneer, curd, soya and more.

Do I need to visit the clinic?

No. The consult and monthly reviews happen by video. If you are near Thane, Andheri, Bandra or Dahisar you are welcome to come in.

Who reviews me every month?

Dr Amit himself. Our team supports you on WhatsApp between reviews and replies within two hours on working days.

Can I pay monthly?

Yes. Rs 30,000 a month with medicine included, or Rs 1,00,000 for the full four-month course.

What if I am not eligible?

You will be told on the call, with the reason, and with what you can do instead. You pay only the Rs 499 consult.

Got A Number That Won't Move? →

(book the Rs 499 eligibility consult by video. if it isn't right for you, you'll hear that on the same call.)

Call centre 022 7123 7000 · WhatsApp 97685 56666 · Mon to Sat, 11 am to 8 pm