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Weight loss consultation

A short set of questions about your health, medical history and weight-loss journey. Every consultation is reviewed by our prescribing team.

A few minutes · your answers are stored encrypted and never sold · a registered clinician reads every one.

Welcome back — we kept the answers you'd started. Start again
Step 1 of 7About you

Let's start with you.

Do you already have a prescription for weight loss medication from us? Go straight to your options

01How do you describe yourself?

Please answer this question.

02What is your date of birth?

Please answer this question.

03What is your height?

Please answer this question.

04What is your current weight?

Please weigh yourself today if you can - we'll use this to calculate your BMI.
Your BMI:calculated as you type
BMI (Body Mass Index) uses your height and weight to help us assess whether treatment may be suitable for you.

Please answer this question.

Reviewed by the clinic, usually within a couple of hours. Continue
Step 2 of 7Your health

Your health.

05Have you ever been diagnosed with any of these health conditions?

Prediabetes, diabetes, heart disease, high blood pressure, high cholesterol, or obstructive sleep apnoea.

Please answer this question.

06Which of these health conditions have you been diagnosed with?

Tick all that apply.

Please answer this question.

07Are you currently taking any medication for type 2 diabetes oher than metformin?

This includes tablets and injections.

Please answer this question.

08Are you currently taking any medication for the health condition(s) you selected?

Please answer this question.

09Please list the medication name(s) and dose(s), if known.

Please answer this question.

10Have you ever had, or do you currently have, any of the followng health conditions?

Acromegaly or any growth hormone problem · Chronic malabsorption syndrome · Cushing's syndrome · Gallbladder, bile duct or pancreas disease · Gastric (bariatric) surgery · Heart failure · Hypoglycaemia · Kidney disease · Liver disease · Pancreatitis · Severe gastrointestinal disease (e.g. inflammatory bowel disease, ulcerative colitis, Crohn's disease) · Type 1 diabetes Some of these questions may simply mean we need a prescriber to review your answers before treatment can be approved.

Please answer this question.

11Are you pregnant or breastfeeding?

Weight-loss medicines are not suitable during pregnancy or while breastfeeding.

Please answer this question.

12Have you or a close family member ever been diagnosed with medullary thyroid cancer or Multiple Endocrine Neoplasia type 2 (MEN2)?

MEN2 is a rare inherited condition that can affect hormone-producing glands, including the thyroid. If you're unsure whether this applies to you, please select "Unsure".

Please answer this question.

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Step 3 of 7Medication & allergies

Medication & allergies.

13Have you experienced an allergic reaction to any of the medications?

Mounjaro (tirsepatide), Wegovy or Ozempic (semaglutide), or Saxenda (liraglutide).

Please answer this question.

14Which medicine caused the reaction, and what happened?

Please answer this question.

15Are you currently taking any of the following medications?

Amiodarone · Carbamazepine · Ciclosporin · Clozapine · Digoxin · Fenfluramine · Lithium · Oral methotrexate · Phenobarbital · Phenytoin · Somatrogon · Tacrolimus · Theophylline · Warfarin
Some medicines may interact with weight-loss treatment, so our prescriber may need to review this before treatment.

Please answer this question.

16Do you currently have, or have you ever had, a thyroid condition?

Please answer this question.

17What thyroid condition have you been diagnosed with?

Please answer this question.

18Are you currently taking any medication for your thyroid?

Please answer this question.

19Please tell us the name of your thypid medication and the dose, if known.

Please answer this question.

20Have you used any injectable weight-loss medication in the last 4 weeks?

Please answer this question.

21Please tell us which weight-loss medication you used, the dose, and the date of your last injection.

Please answer this question.

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Step 4 of 7Mental health

Mental health.

22Have you ever been diagnosed with an eating disorder?

Please answer this question.

23Please tell us which eating disorder you were diagnosed with and whether it is current or in the past.

This helps our prescriber make sure treatment is safe and appropriate for you.

Please answer this question.

24Have you ever been diagnosed with depression or another mental health condition?

This heps our presciber make sure treatment is safe and appropriate for you.

Please answer this question.

25Please tell us the condition, whether you're currently receiving treatment, and any medication you take for it.

This helps our prescriber make sure treatment is safe and appropriate for you.

Please answer this question.

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Step 5 of 7The understandings

The understandings.

26If this is your first order with nubodyclinic and you are requesting a dose above the starting dose, or if it has been more than 8 weeks since your last order with us, we may ask to provide evidence of your previous prescription. Do you understand?

This helps our prescriber confirm that the dose you're requesting is appropriate for you.

Please answer this question.

27If you use an oral contraceptive and are prescribed Mounjaro (tirzepatide), you'll need to use an additional barrier method, such as condoms, or switch to a non-oral contraceptive for 4 weeks after starting treatment and for 4 weeks after each dose increase. Do you understand?

This advise only applies if you use an oral contraceptive and are prescribed Mounjaro (tirzepatide).

Please answer this question.

28Weight-loss medication should not be used during pregnancy. If you're planning to become pregnant, you'll need to stop treatment in advance. How long beforehand depends on the medication you're prescribed. Do you understand?

Your prescriber will advise you how long before trying to concieve you should stop treatment.

Please answer this question.

29These medicines can sometimes cause pancreatitis or gallbladder problems, including gallstones. If you develop severe or persistent abdominal pain, you should seek urgent medical advice. Do you understand?

Severe stomach pain that does not go away, especially if it spreads to your back, needs urgent medical attention.

Please answer this question.

30You should not use another GLP-1 weight-loss medicine or another medicine containing the same active ingredient, at the same time unless your prescriber tells you to. Do you understand?

Using similar medicines together can increase risk of side effects.

Please answer this question.

31Do you understand that if you develop a new lump or swelling in your neck, or any other concerning symptoms while taking treatment, please contact a healthcare professional promptly? Do you understand?

These symptoms should be checked promptly, even if they turn out to be unrelated to your treatment.

Please answer this question.

32If you experience new or worsening depression, significant changes in your mood, or thoughts of self-harm while taking treatment, you should seek medical advice promptly and contact nubodyclinic. Do you understand?

If you have thoughts of harming yourself, seek urgent medical help immediately..

Please answer this question.

33Do you agree to the following?

You will read the patient information leaflet supplied with your medication You will contact us and inform your GP if you experience side effects, start new medication, or your medical condition(s) change The treatment is solely for your own use You have answered all questions accurately and truthfully, and understand our prescribers base their decisions on them

Please answer this question.

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Step 6 of 7Your account

Ready for your next order?

So the clinic can reach you about your consultation, and your answers stay with you.

We'll email you a link to set your password.

Please fill in your name and email.

Already a patient? Sign in and come back — your answers will be waiting.

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Step 7 of 7Declaration

Almost done.

Identity verification

We'll ask you to provide a valid photo ID before your medication can be dispatched. You don't need to upload this now.

Please confirm to submit.

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Our honest answer

We are unable to supply
this treatment to you.

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Think that's right? Send my answers to the clinic anyway — you'll get the same honest answer in writing. Or talk it through: 0330 043 6544, seven days.

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