Reach your goal weight fast

without restrictive diets and exercise

Please answer the following questions so we can qualify you for medical weight loss.

What is your height?

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What is your current weight?

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What is your goal weight?

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Are you male or female?

Male

Female

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Date of birth

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Health Questions (1 of 2) — Please tick any that apply

Type 2 diabetes High blood pressure (hypertension) High cholesterol PCOS (Polycystic ovary syndrome) Sleep apnoea Fatty liver disease None of the above

Health Questions (2 of 2) — Please tick any that apply

Personal or family history of medullary thyroid cancer Multiple Endocrine Neoplasia syndrome type 2 (MEN2) Pancreatitis Gallbladder disease Currently pregnant or breastfeeding Eating disorder (current or past) None of the above

Have you had any prior weight loss surgeries?

Yes

No

Are you currently taking any prescription medications?

Yes

No

Have you previously taken GLP-1 medication (e.g. Wegovy, Mounjaro, Ozempic)?

Yes

No

Have you tried other weight loss programmes?

Yes

No

What is your typical blood pressure range?

Patient story

Clinician intro

Are you ready for your next chapter?

With medication, you could lose

0.7 – 1.2 kg

per week

How is that pace for you?

That works for me

I want it faster

That's too slow

Which matters most to you?

AffordabilityBest value option

PotencyStrongest results

Injection or tablet?

I prefer to injectWeekly self-administered

I prefer a tabletDaily oral option

Additional notes for your medical team

Your needs are unique — what are you also interested in?

Nutrition guidance Fitness and movement plans Mental wellbeing support Sleep improvement Hormonal health Maintenance after weight loss

Your Medical Review

Your BMI

—

Current weight

—

Goal weight

—

Weeks to goal

—

What's your name?

Where in the UK are you based?

How can you be reached?

A clinician will independently review your information and may request additional verification (e.g. video call or GP records) as required by GPhC guidance.

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GPhC Registered Pharmacy

Thank you — your details are with our clinical team.

A GMC-registered UK clinician will independently review your eligibility shortly and be in touch within 24 hours. Keep an eye on your email and phone.

1

Clinician review
Usually within 24 hours

2

Verification (if needed)
Short video call or GP records

3

Discreet delivery
If approved, shipped in 2–3 days

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