Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.
Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.
For this medication we are required to update your GP with your treatment. Please provide your GP details:
Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.
Do any of the following conditions apply to you? Weight loss can have a positive effect on overall health including any weight-related comorbidities such as these:
I have been diagnosed with hypertension (high blood pressure).
I have a heart/cardiovascular condition other than heart failure.
I have elevated cholesterol levels.
I have osteoarthritis.
I experience sleep apnea.
Non-alcoholic fatty liver disease.
I have been diagnosed with polycystic ovary syndrome (PCOS).
Do any of the following conditions or situations apply to you?
Diabetic retinopathy
Type 1 Diabetes
Crohn's disease
Inflammatory bowel disease
Coeliac disease
Chronic malabsorption syndrome
Chronic pancreatitis
History of acute pancreatitis
Pancreatic cancer or a family history of this
Impaired liver function
Kidney disease, especially end stage
Heart failure
Medullary thyroid cancer or a family history of thyroid cancer
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
Gallbladder problems
Active gallstones
Atrial fibrillation / irregular heart beat
Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.
Are you allergic to any of the following substances: disodium phosphate, dihydrate, propylene glycol, phenol, hydrochloric acid, sodium hydroxide?
Have you ever experienced or currently have an eating disorder, such as bulimia, anorexia nervosa, or a binge eating disorder?
Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.
Have you ever tried any new GLP-1 medications for weight loss in the past such as Mounjaro, Ozempic, Saxenda, Rybelsus or Wegovy?
If you are currently using higher dosages of weight loss medication, it is imperative that you answer YES and provide further details.
Have you ever tried any new GLP-1 medications for weight loss in the past such as Mounjaro, Ozempic, Saxenda, Rybelsus or Wegovy?
If you are currently using higher dosages of weight loss medication, it is imperative that you answer YES and provide further details.
Do you have a specific target weight you are aiming to reach?
Please confirm that you have read and understood the below information related to your treatment plan:
This programme is not designed to manage or monitor weight-related comorbidities. It is strongly recommended that patients with weight-related comorbidities see their GP at regular intervals (3-6 months) to assess their overall health and ensure any treatment received from the GP is prescribed under the right dose.
A qualified clinician will review your consultation and determine whether a weight loss treatment plan is in your best interest and safe for you.
Some medications such as Wegovy and Mounjaro and require for sub-cutaneous injection in the abdomen, thigh or upper arm.
Our treatment plans include medications that may cause side-effects such as nausea, diarrhoea, headaches, lack of appetite, bloating, constipation, and abdominal pain.
You are required to read the "Patient Information Booklet" included with your medication.
If prescribed weight-loss treatment, you will need to fill out a monthly follow-up consultation on the final week of your month's supply.
Your delivery address is suitable for receiving medications without children, elderly people or animals having access to them.
You agree to the dispensing pharmacy and prescribing clinician accessing your summary care record to retrieve your medical history when assessing your eligibility for this treatment and despatching your treatment.
You have answered each question truthfully and accurately.
In regard to weight management orders or subscription-based orders, we would like to inform you that an administrative charge of £40 may apply under the following circumstances:
If you request a refund or cancellation after submitting your treatment order.
If your medical history or medication records, as found in your NHS summary care record, are undeclared or under-declared, resulting in the unsuitability of the requested treatment.
If there is a discrepancy between your declared weight and height and the recorded weight and height in your NHS GP record, leading to treatment unsuitability.
You have a BMI of below 30, or below 27 if you have one of the comorbidities noted in the next question. Check your BMI here.
We have implemented these charges to cover the costs incurred by our clinical team in performing necessary regulatory checks when you request treatment from our registered UK pharmacy and clinical team.
Your response suggests that this medication may not be appropriate for online purchase. For further advice, please contact us or your GP.