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Start Consultation

Please complete our detailed consultation questionnaire, and upon submission, our team will assess your responses to determine if you are a suitable candidate for the medication. Your cooperation and accurate information are crucial for this evaluation process.

Which ethnicity are you? Healthy BMI ranges are different according to your ethnic background.
What sex were you assigned at birth?
Are you currently pregnant, trying to get pregnant, or breastfeeding?
What is your weight?
What is your heigh?
Have you been diagnosed with diabetes? Diabetes treatments can impact the way the medication included with our weight loss plan works
Do any of the following statements apply to you? These conditions can lead to serious complications when losing weight or taking weight loss medications.
Do any of the following statements apply to you? These conditions are often weight related and may be improved as a result of losing weight.
Do you have any other medical conditions? Our clinicians need to know your full medical history to make sure our weight loss plan is safe for you.
Have you ever taken any of the following medications to help you lose weight?
Do you currently take any other medication or have any allergies? This includes prescribed medication, over-the-counter medication, and supplements. Select all that apply to you. It’s really important that we know about any medication you're taking so that we can make sure there are no interactions with your weight loss plan.
Would you like your GP to be informed of this consultation? To ensure we provide the best and safest service for you, we strongly encourage you to share your GP details so we can inform them about your treatment. If you are aware of your GP practice's email address, please enter them on the next screen.

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