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We’re sorry – based on your answers, we are unable to prescribe this treatment, and no payment has been taken.
If yes, please tick the conditions below.
If you do not have any of them, simply state 'None'.
Based on the health conditions you've indicated, our weight loss program may not be the right fit at this time. We recommend reaching out to one of our specialists to explore safer, more personalized options for your health.
Our clinicians need to know your full medical history to make sure treatment is safe for you to take.
Answer “none” if you don’t have any.
You are currently not eligible to complete this form due to a history of eating disorders. We recommend speaking with your GP or a healthcare professional for personalized advice and to explore safe, suitable alternatives that support your well-being.
Taken as a once weekly pre-filled injection pen that contains 4 doses.
Clinical trials* show up to 22% weight loss with diet and exercise.
Contains tirzepatide to regulate blood sugar, curb appetite, and reduce cravings.