{"id":1787,"date":"2026-06-08T18:04:04","date_gmt":"2026-06-08T18:04:04","guid":{"rendered":"https:\/\/euslimstore.com\/?page_id=1787"},"modified":"2026-06-08T18:08:58","modified_gmt":"2026-06-08T18:08:58","slug":"weight-loss-consultation","status":"publish","type":"page","link":"https:\/\/euslimstore.com\/de\/weight-loss-consultation\/","title":{"rendered":"Weight Loss Consultation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1787\" class=\"elementor elementor-1787\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c1b770 e-flex e-con-boxed e-con e-parent\" data-id=\"7c1b770\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b580620 elementor-widget elementor-widget-html\" data-id=\"b580620\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- EU Slim Store \u2014 Patient Consultation Form (Dcare style, mobile-friendly) -->\n<!-- Paste into an Elementor HTML widget on your consultation page. -->\n<!-- REQUIRED: Replace [YOUR_EMAIL] in the form action URL below with your actual admin email. -->\n\n<style>\n.consult-form { width: 100%; font-family: 'DM Sans', sans-serif; color: #1A1A1A; }\n.consult-form * { box-sizing: border-box; }\n\n\/* Section header *\/\n.consult-form .cf-header { text-align: center; max-width: 720px; margin: 0 auto 48px; }\n.consult-form .cf-eyebrow {\n  display: inline-block;\n  background: #E5F2EC;\n  color: #155D52;\n  padding: 6px 14px;\n  border-radius: 999px;\n  font-size: 12px;\n  font-weight: 700;\n  text-transform: uppercase;\n  letter-spacing: 0.06em;\n  margin-bottom: 18px;\n}\n.consult-form h1 {\n  font-size: clamp(28px, 4vw, 42px);\n  line-height: 1.05;\n  letter-spacing: -0.03em;\n  font-weight: 700;\n  color: #1A1A1A;\n  margin: 0 0 14px;\n}\n.consult-form h1 .accent { color: #155D52; }\n.consult-form .cf-intro {\n  font-size: 17px;\n  line-height: 1.55;\n  color: #6B7280;\n  margin: 0;\n}\n\n\/* Form card *\/\n.consult-form .cf-card {\n  background: #fff;\n  border: 1px solid #E5E7EB;\n  border-radius: 20px;\n  max-width: 820px;\n  margin: 0 auto;\n  overflow: hidden;\n  box-shadow: 0 4px 24px -8px rgba(21, 93, 82, 0.08);\n}\n\n\/* Fieldset \/ section *\/\n.consult-form fieldset {\n  border: none;\n  margin: 0;\n  padding: 36px 40px;\n  border-bottom: 1px solid #E5E7EB;\n}\n.consult-form fieldset:last-of-type { border-bottom: none; }\n.consult-form fieldset.cf-alt { background: #F8F8F6; }\n.consult-form legend {\n  display: flex;\n  align-items: center;\n  gap: 12px;\n  font-size: 18px;\n  font-weight: 700;\n  color: #1A1A1A;\n  margin-bottom: 6px;\n  letter-spacing: -0.01em;\n}\n.consult-form legend .step-num {\n  width: 32px;\n  height: 32px;\n  background: #155D52;\n  color: #fff;\n  border-radius: 50%;\n  display: inline-flex;\n  align-items: center;\n  justify-content: center;\n  font-size: 14px;\n  font-weight: 700;\n  flex-shrink: 0;\n}\n.consult-form .cf-section-desc {\n  color: #6B7280;\n  font-size: 14px;\n  margin: 0 0 24px 44px;\n  line-height: 1.5;\n}\n\n\/* Field grid *\/\n.consult-form .cf-grid { display: grid; gap: 18px; grid-template-columns: 1fr 1fr; }\n.consult-form .cf-grid-3 { display: grid; gap: 18px; grid-template-columns: 1fr 1fr 1fr; }\n.consult-form .cf-full { grid-column: 1 \/ -1; }\n.consult-form .cf-field { display: flex; flex-direction: column; }\n\n\/* Labels *\/\n.consult-form label {\n  font-size: 14px;\n  font-weight: 600;\n  color: #1A1A1A;\n  margin-bottom: 6px;\n  display: block;\n}\n.consult-form label .req { color: #DC3545; margin-left: 2px; }\n.consult-form .cf-help {\n  font-size: 12px;\n  color: #6B7280;\n  margin-top: 6px;\n  line-height: 1.5;\n}\n\n\/* Inputs *\/\n.consult-form input[type=\"text\"],\n.consult-form input[type=\"email\"],\n.consult-form input[type=\"tel\"],\n.consult-form input[type=\"number\"],\n.consult-form input[type=\"date\"],\n.consult-form select,\n.consult-form textarea {\n  font-family: 'DM Sans', sans-serif;\n  font-size: 15px;\n  color: #1A1A1A;\n  background: #fff;\n  border: 1.5px solid #E5E7EB;\n  border-radius: 10px;\n  padding: 12px 14px;\n  width: 100%;\n  transition: border-color 0.2s, box-shadow 0.2s;\n}\n.consult-form input:focus,\n.consult-form select:focus,\n.consult-form textarea:focus {\n  outline: none;\n  border-color: #155D52;\n  box-shadow: 0 0 0 4px rgba(21, 93, 82, 0.1);\n}\n.consult-form input[readonly] {\n  background: #F8F8F6;\n  color: #6B7280;\n}\n.consult-form textarea {\n  min-height: 100px;\n  resize: vertical;\n  font-family: 'DM Sans', sans-serif;\n}\n.consult-form select {\n  appearance: none;\n  background-image: url(\"data:image\/svg+xml;utf8,<svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='12' height='8' viewBox='0 0 12 8' fill='none'><path d='M1 1.5L6 6.5L11 1.5' stroke='%23155D52' stroke-width='2' stroke-linecap='round' stroke-linejoin='round'\/><\/svg>\");\n  background-repeat: no-repeat;\n  background-position: right 14px center;\n  padding-right: 38px;\n}\n\n\/* Radio \/ checkbox groups *\/\n.consult-form .cf-radio-group,\n.consult-form .cf-checkbox-group {\n  display: flex;\n  flex-wrap: wrap;\n  gap: 10px;\n}\n.consult-form .cf-radio-group label,\n.consult-form .cf-checkbox-group label {\n  cursor: pointer;\n  font-weight: 500;\n  font-size: 14px;\n  background: #fff;\n  border: 1.5px solid #E5E7EB;\n  padding: 10px 16px;\n  border-radius: 999px;\n  display: flex;\n  align-items: center;\n  gap: 8px;\n  margin: 0;\n  transition: all 0.2s;\n}\n.consult-form .cf-radio-group label:hover,\n.consult-form .cf-checkbox-group label:hover {\n  border-color: #155D52;\n}\n.consult-form .cf-radio-group input[type=\"radio\"]:checked + span,\n.consult-form .cf-checkbox-group input[type=\"checkbox\"]:checked + span {\n  color: #155D52;\n  font-weight: 700;\n}\n.consult-form .cf-radio-group label:has(input:checked),\n.consult-form .cf-checkbox-group label:has(input:checked) {\n  background: #E5F2EC;\n  border-color: #155D52;\n}\n.consult-form .cf-radio-group input,\n.consult-form .cf-checkbox-group input {\n  accent-color: #155D52;\n  margin: 0;\n}\n\n\/* Checkbox list (stacked, for conditions) *\/\n.consult-form .cf-checkbox-list {\n  display: grid;\n  grid-template-columns: 1fr 1fr;\n  gap: 10px;\n}\n.consult-form .cf-checkbox-list label {\n  display: flex;\n  align-items: center;\n  gap: 10px;\n  font-size: 14px;\n  font-weight: 500;\n  padding: 10px 14px;\n  background: #fff;\n  border: 1.5px solid #E5E7EB;\n  border-radius: 10px;\n  cursor: pointer;\n  transition: all 0.2s;\n}\n.consult-form .cf-checkbox-list label:has(input:checked) {\n  background: #E5F2EC;\n  border-color: #155D52;\n}\n.consult-form .cf-checkbox-list input { accent-color: #155D52; }\n\n\/* Consent area *\/\n.consult-form .cf-consent label {\n  display: flex;\n  align-items: flex-start;\n  gap: 12px;\n  padding: 14px 18px;\n  background: #fff;\n  border: 1.5px solid #E5E7EB;\n  border-radius: 12px;\n  cursor: pointer;\n  margin-bottom: 10px;\n  transition: all 0.2s;\n}\n.consult-form .cf-consent label:has(input:checked) {\n  background: #E5F2EC;\n  border-color: #155D52;\n}\n.consult-form .cf-consent input { margin-top: 2px; accent-color: #155D52; flex-shrink: 0; }\n.consult-form .cf-consent .consent-text {\n  font-size: 14px;\n  line-height: 1.55;\n  color: #1A1A1A;\n  font-weight: 500;\n}\n.consult-form .cf-consent .consent-text a { color: #155D52; text-decoration: underline; }\n\n\/* BMI display *\/\n.consult-form .cf-bmi-display {\n  background: #E5F2EC;\n  border-radius: 10px;\n  padding: 12px 16px;\n  display: flex;\n  justify-content: space-between;\n  align-items: center;\n  font-size: 14px;\n  color: #155D52;\n  font-weight: 600;\n}\n.consult-form .cf-bmi-display .bmi-value {\n  font-size: 22px;\n  font-weight: 800;\n  letter-spacing: -0.02em;\n}\n\n\/* Submit button *\/\n.consult-form .cf-submit-wrap {\n  padding: 32px 40px 40px;\n  text-align: center;\n  background: #fff;\n}\n.consult-form button[type=\"submit\"] {\n  background: #155D52;\n  color: #fff;\n  border: none;\n  padding: 18px 40px;\n  border-radius: 999px;\n  font-family: 'DM Sans', sans-serif;\n  font-size: 16px;\n  font-weight: 700;\n  cursor: pointer;\n  transition: background 0.25s, transform 0.15s;\n  width: 100%;\n  max-width: 360px;\n  display: inline-flex;\n  align-items: center;\n  justify-content: center;\n  gap: 8px;\n  letter-spacing: 0.01em;\n}\n.consult-form button[type=\"submit\"]:hover { background: #0E4A40; }\n.consult-form button[type=\"submit\"]:active { transform: scale(0.98); }\n.consult-form .cf-submit-note {\n  font-size: 12px;\n  color: #6B7280;\n  margin-top: 14px;\n  line-height: 1.6;\n}\n\n\/* Trust footer *\/\n.consult-form .cf-trust {\n  text-align: center;\n  margin: 28px auto 0;\n  max-width: 680px;\n  font-size: 13px;\n  color: #6B7280;\n  line-height: 1.6;\n}\n.consult-form .cf-trust strong { color: #155D52; }\n\n\/* ===== RESPONSIVE ===== *\/\n@media (max-width: 720px) {\n  .consult-form > section { padding: 48px 16px !important; }\n  .consult-form h1 { font-size: 26px !important; }\n  .consult-form .cf-intro { font-size: 15px; }\n  .consult-form .cf-eyebrow { font-size: 11px; padding: 5px 12px; }\n  .consult-form .cf-header { margin-bottom: 28px; }\n  .consult-form fieldset { padding: 28px 22px; }\n  .consult-form legend { font-size: 16px; }\n  .consult-form .cf-section-desc { margin-left: 0; font-size: 13px; }\n  .consult-form .cf-grid,\n  .consult-form .cf-grid-3 { grid-template-columns: 1fr !important; gap: 14px; }\n  .consult-form .cf-checkbox-list { grid-template-columns: 1fr; }\n  .consult-form .cf-submit-wrap { padding: 24px 22px 32px; }\n  .consult-form button[type=\"submit\"] { padding: 16px 28px; font-size: 15px; }\n}\n\n@media (max-width: 480px) {\n  .consult-form fieldset { padding: 24px 18px; }\n  .consult-form legend .step-num { width: 28px; height: 28px; font-size: 13px; }\n  .consult-form .cf-card { border-radius: 14px; }\n  .consult-form input, .consult-form select, .consult-form textarea { font-size: 16px; \/* prevents iOS zoom *\/ }\n}\n<\/style>\n\n<div class=\"consult-form\">\n<section style=\"background:#F8F8F6;padding:80px 20px;\">\n  <div style=\"max-width:1100px;margin:0 auto;\">\n\n    <!-- Section Header -->\n    <div class=\"cf-header\">\n      <span class=\"cf-eyebrow\">Free consultation<\/span>\n      <h1>Begin your <span class=\"accent\">weight loss journey.<\/span><\/h1>\n      <p class=\"cf-intro\">\n        Complete this 5-minute medical questionnaire. A doctor will review your case within 24 hours and respond with treatment options if you're eligible. <strong>No commitment until your doctor approves.<\/strong>\n      <\/p>\n    <\/div>\n\n    <!-- Form -->\n    <form class=\"cf-card\"\n          action=\"https:\/\/formsubmit.co\/[YOUR_EMAIL]\"\n          method=\"POST\">\n\n      <!-- FormSubmit configuration (hidden) -->\n      <input type=\"hidden\" name=\"_subject\" value=\"New consultation request \u2014 EU Slim Store\">\n      <input type=\"hidden\" name=\"_template\" value=\"table\">\n      <input type=\"hidden\" name=\"_captcha\" value=\"true\">\n      <input type=\"hidden\" name=\"_autoresponse\" value=\"Thank you for your consultation request. A doctor will review your case within 24 hours and email you with the next steps. \u2014 EU Slim Store\">\n      <!-- Optional: redirect to a thank-you page on your site after submission -->\n      <input type=\"hidden\" name=\"_next\" value=\"https:\/\/euslimstore.com\/thank-you\">\n      <!-- Honeypot anti-spam (must remain empty) -->\n      <input type=\"text\" name=\"_honey\" style=\"display:none\">\n\n      <!-- ====================================================== -->\n      <!-- SECTION 1: Eligibility check                            -->\n      <!-- ====================================================== -->\n      <fieldset>\n        <legend><span class=\"step-num\">1<\/span>Quick eligibility check<\/legend>\n        <p class=\"cf-section-desc\">\n          Four quick questions. If you answer \"yes\" to any of the last three, we may not be able to treat you, but a doctor will still review your case.\n        <\/p>\n\n        <div class=\"cf-grid\" style=\"grid-template-columns:1fr;gap:18px;\">\n\n          <div class=\"cf-field\">\n            <label>Are you 18 years of age or older? <span class=\"req\">*<\/span><\/label>\n            <div class=\"cf-radio-group\">\n              <label><input type=\"radio\" name=\"age_18_plus\" value=\"Yes\" required><span>Yes<\/span><\/label>\n              <label><input type=\"radio\" name=\"age_18_plus\" value=\"No\"><span>No<\/span><\/label>\n            <\/div>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Are you currently pregnant, planning pregnancy, or breastfeeding? <span class=\"req\">*<\/span><\/label>\n            <div class=\"cf-radio-group\">\n              <label><input type=\"radio\" name=\"pregnant\" value=\"No\" required><span>No<\/span><\/label>\n              <label><input type=\"radio\" name=\"pregnant\" value=\"Yes\"><span>Yes<\/span><\/label>\n              <label><input type=\"radio\" name=\"pregnant\" value=\"N\/A\"><span>Not applicable<\/span><\/label>\n            <\/div>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Personal or family history of medullary thyroid cancer (MTC) or MEN 2 syndrome? <span class=\"req\">*<\/span><\/label>\n            <div class=\"cf-radio-group\">\n              <label><input type=\"radio\" name=\"mtc_history\" value=\"No\" required><span>No<\/span><\/label>\n              <label><input type=\"radio\" name=\"mtc_history\" value=\"Yes\"><span>Yes<\/span><\/label>\n              <label><input type=\"radio\" name=\"mtc_history\" value=\"Unsure\"><span>Unsure<\/span><\/label>\n            <\/div>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Have you ever had pancreatitis? <span class=\"req\">*<\/span><\/label>\n            <div class=\"cf-radio-group\">\n              <label><input type=\"radio\" name=\"pancreatitis\" value=\"No\" required><span>No<\/span><\/label>\n              <label><input type=\"radio\" name=\"pancreatitis\" value=\"Yes\"><span>Yes<\/span><\/label>\n            <\/div>\n          <\/div>\n\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SECTION 2: Personal details                             -->\n      <!-- ====================================================== -->\n      <fieldset class=\"cf-alt\">\n        <legend><span class=\"step-num\">2<\/span>Your details<\/legend>\n        <p class=\"cf-section-desc\">Used by your doctor to contact you and to arrange delivery if treatment is appropriate.<\/p>\n\n        <div class=\"cf-grid\">\n          <div class=\"cf-field\">\n            <label>First name <span class=\"req\">*<\/span><\/label>\n            <input type=\"text\" name=\"first_name\" required autocomplete=\"given-name\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Last name <span class=\"req\">*<\/span><\/label>\n            <input type=\"text\" name=\"last_name\" required autocomplete=\"family-name\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Email <span class=\"req\">*<\/span><\/label>\n            <input type=\"email\" name=\"email\" required autocomplete=\"email\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Phone number <span class=\"req\">*<\/span><\/label>\n            <input type=\"tel\" name=\"phone\" required autocomplete=\"tel\" placeholder=\"+31 ...\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Date of birth <span class=\"req\">*<\/span><\/label>\n            <input type=\"date\" name=\"date_of_birth\" required autocomplete=\"bday\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Country of residence <span class=\"req\">*<\/span><\/label>\n            <select name=\"country\" required>\n              <option value=\"\">Select your country...<\/option>\n              <option value=\"Netherlands\">Netherlands<\/option>\n              <option value=\"Belgium\">Belgium<\/option>\n              <option value=\"Germany\">Germany<\/option>\n              <option value=\"France\">France<\/option>\n              <option value=\"Italy\">Italy<\/option>\n              <option value=\"Spain\">Spain<\/option>\n              <option value=\"Portugal\">Portugal<\/option>\n              <option value=\"Austria\">Austria<\/option>\n              <option value=\"Denmark\">Denmark<\/option>\n              <option value=\"Sweden\">Sweden<\/option>\n              <option value=\"Finland\">Finland<\/option>\n              <option value=\"Ireland\">Ireland<\/option>\n              <option value=\"Poland\">Poland<\/option>\n              <option value=\"Czech Republic\">Czech Republic<\/option>\n              <option value=\"Greece\">Greece<\/option>\n              <option value=\"Romania\">Romania<\/option>\n              <option value=\"Hungary\">Hungary<\/option>\n              <option value=\"Other EU\">Other EU country<\/option>\n              <option value=\"Other\">Other<\/option>\n            <\/select>\n          <\/div>\n          <div class=\"cf-field cf-full\">\n            <label>Delivery address<\/label>\n            <textarea name=\"address\" placeholder=\"Street, postal code, city\" autocomplete=\"street-address\"><\/textarea>\n            <p class=\"cf-help\">You can also provide this later if approved for treatment.<\/p>\n          <\/div>\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SECTION 3: Body measurements                            -->\n      <!-- ====================================================== -->\n      <fieldset>\n        <legend><span class=\"step-num\">3<\/span>About you<\/legend>\n        <p class=\"cf-section-desc\">Your doctor uses these to determine eligibility and the appropriate starting dose.<\/p>\n\n        <div class=\"cf-grid-3\">\n          <div class=\"cf-field\">\n            <label>Height (cm) <span class=\"req\">*<\/span><\/label>\n            <input type=\"number\" name=\"height_cm\" id=\"height_cm\" required min=\"120\" max=\"230\" placeholder=\"e.g. 170\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Current weight (kg) <span class=\"req\">*<\/span><\/label>\n            <input type=\"number\" name=\"weight_kg\" id=\"weight_kg\" required min=\"40\" max=\"300\" step=\"0.1\" placeholder=\"e.g. 85\" \/>\n          <\/div>\n          <div class=\"cf-field\">\n            <label>Goal weight (kg)<\/label>\n            <input type=\"number\" name=\"goal_weight_kg\" min=\"40\" max=\"200\" step=\"0.1\" placeholder=\"e.g. 70\" \/>\n          <\/div>\n          <div class=\"cf-field cf-full\">\n            <div class=\"cf-bmi-display\">\n              <span>Your BMI<\/span>\n              <span class=\"bmi-value\" id=\"bmi_display\">\u2014<\/span>\n            <\/div>\n            <input type=\"hidden\" name=\"bmi_calculated\" id=\"bmi_hidden\" value=\"\" \/>\n          <\/div>\n          <div class=\"cf-field cf-full\">\n            <label>Briefly describe your weight loss journey so far<\/label>\n            <textarea name=\"weight_history\" placeholder=\"When did your weight start being a concern? What have you tried (diet, exercise, medication)? What's working \/ not working?\"><\/textarea>\n          <\/div>\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SECTION 4: Medical history                              -->\n      <!-- ====================================================== -->\n      <fieldset class=\"cf-alt\">\n        <legend><span class=\"step-num\">4<\/span>Medical history<\/legend>\n        <p class=\"cf-section-desc\">Help your doctor understand your full health picture. Be as thorough as possible.<\/p>\n\n        <div class=\"cf-grid\" style=\"grid-template-columns:1fr;\">\n\n          <div class=\"cf-field\">\n            <label>Do you have any of these conditions? (tick all that apply)<\/label>\n            <div class=\"cf-checkbox-list\">\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Type 2 diabetes\"><span>Type 2 diabetes<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Pre-diabetes\"><span>Pre-diabetes<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"High blood pressure\"><span>High blood pressure<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"High cholesterol\"><span>High cholesterol<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Sleep apnoea\"><span>Sleep apnoea<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Fatty liver disease\"><span>Fatty liver disease<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Cardiovascular disease\"><span>Cardiovascular disease<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"PCOS\"><span>PCOS<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Thyroid disorder\"><span>Thyroid disorder<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Depression \/ anxiety\"><span>Depression \/ anxiety<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Kidney disease\"><span>Kidney disease<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"Eating disorder history\"><span>Eating disorder history<\/span><\/label>\n              <label><input type=\"checkbox\" name=\"conditions[]\" value=\"None of the above\"><span>None of the above<\/span><\/label>\n            <\/div>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Current medications<\/label>\n            <textarea name=\"current_medications\" placeholder=\"List any prescription or regular over-the-counter medications, including dosage if you know it. Type 'none' if you don't take any.\"><\/textarea>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Known allergies (medication, food, other)<\/label>\n            <textarea name=\"allergies\" placeholder=\"Type 'none' if you have no known allergies.\"><\/textarea>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Have you previously used weight loss medication? <span class=\"req\">*<\/span><\/label>\n            <div class=\"cf-radio-group\">\n              <label><input type=\"radio\" name=\"prior_meds\" value=\"No\" required><span>No<\/span><\/label>\n              <label><input type=\"radio\" name=\"prior_meds\" value=\"Yes\"><span>Yes<\/span><\/label>\n            <\/div>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>If yes, which one(s) and what was your experience?<\/label>\n            <textarea name=\"prior_meds_details\" placeholder=\"e.g. Wegovy for 4 months \u2014 lost 8kg but stopped due to nausea\"><\/textarea>\n          <\/div>\n\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SECTION 5: Treatment preference                         -->\n      <!-- ====================================================== -->\n      <fieldset>\n        <legend><span class=\"step-num\">5<\/span>Treatment preference<\/legend>\n        <p class=\"cf-section-desc\">Optional \u2014 your doctor will recommend the best fit, but let us know if you have a preference.<\/p>\n\n        <div class=\"cf-grid\" style=\"grid-template-columns:1fr;\">\n\n          <div class=\"cf-field\">\n            <label>Which treatment interests you most?<\/label>\n            <select name=\"treatment_preference\">\n              <option value=\"Doctor's recommendation\">Let the doctor recommend<\/option>\n              <option value=\"Mounjaro\">Mounjaro (Tirzepatide)<\/option>\n              <option value=\"Wegovy\">Wegovy (Semaglutide)<\/option>\n              <option value=\"Saxenda\">Saxenda (Liraglutide)<\/option>\n              <option value=\"Ozempic\">Ozempic (Semaglutide)<\/option>\n              <option value=\"Mysimba\">Mysimba (Naltrexone + Bupropion)<\/option>\n              <option value=\"Orlistat\">Orlistat (Xenical)<\/option>\n            <\/select>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>How did you hear about us?<\/label>\n            <select name=\"referral_source\">\n              <option value=\"\">Select...<\/option>\n              <option value=\"Google search\">Google search<\/option>\n              <option value=\"Social media\">Social media<\/option>\n              <option value=\"Friend \/ family\">Friend \/ family<\/option>\n              <option value=\"Doctor referral\">Doctor referral<\/option>\n              <option value=\"Press \/ article\">Press \/ article<\/option>\n              <option value=\"Other\">Other<\/option>\n            <\/select>\n          <\/div>\n\n          <div class=\"cf-field\">\n            <label>Anything else you'd like the doctor to know?<\/label>\n            <textarea name=\"additional_notes\" placeholder=\"Questions, concerns, anything we should be aware of...\"><\/textarea>\n          <\/div>\n\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SECTION 6: Consent                                      -->\n      <!-- ====================================================== -->\n      <fieldset class=\"cf-alt\">\n        <legend><span class=\"step-num\">6<\/span>Consent &amp; privacy<\/legend>\n        <p class=\"cf-section-desc\">Required to process your consultation under EU medical and GDPR regulations.<\/p>\n\n        <div class=\"cf-consent\">\n          <label>\n            <input type=\"checkbox\" name=\"consent_accurate\" value=\"Yes\" required>\n            <span class=\"consent-text\">I confirm the information provided is accurate to the best of my knowledge and understand that providing false information may affect my treatment safely. <span class=\"req\">*<\/span><\/span>\n          <\/label>\n          <label>\n            <input type=\"checkbox\" name=\"consent_review\" value=\"Yes\" required>\n            <span class=\"consent-text\">I consent to a licensed doctor reviewing my information and prescribing treatment if appropriate. <span class=\"req\">*<\/span><\/span>\n          <\/label>\n          <label>\n            <input type=\"checkbox\" name=\"consent_privacy\" value=\"Yes\" required>\n            <span class=\"consent-text\">I have read and agree to the <a href=\"\/privacy-policy\" target=\"_blank\">Privacy Policy<\/a> and <a href=\"\/terms\" target=\"_blank\">Terms of Service<\/a>. <span class=\"req\">*<\/span><\/span>\n          <\/label>\n          <label>\n            <input type=\"checkbox\" name=\"consent_marketing\" value=\"Yes\">\n            <span class=\"consent-text\">I'd like to receive treatment progress updates and weight loss tips by email. (Optional \u2014 you can unsubscribe anytime.)<\/span>\n          <\/label>\n        <\/div>\n      <\/fieldset>\n\n      <!-- ====================================================== -->\n      <!-- SUBMIT                                                  -->\n      <!-- ====================================================== -->\n      <div class=\"cf-submit-wrap\">\n        <button type=\"submit\">\n          Submit consultation request \u2192\n        <\/button>\n        <p class=\"cf-submit-note\">\n          By submitting, you confirm you're requesting a medical review.<br\/>\n          A doctor will respond by email within 24 hours.\n        <\/p>\n      <\/div>\n\n    <\/form>\n\n    <!-- Trust footer -->\n    <p class=\"cf-trust\">\n      \u2695 All information is encrypted and reviewed only by <strong>licensed doctors<\/strong>. Your data is stored on EU servers and never sold or shared. Submitting this form is <strong>not a commitment<\/strong> \u2014 treatment is only dispensed if your doctor confirms eligibility.\n    <\/p>\n\n  <\/div>\n<\/section>\n<\/div>\n\n<!-- Auto-BMI calculator -->\n<script>\n(function() {\n  const heightInput = document.getElementById('height_cm');\n  const weightInput = document.getElementById('weight_kg');\n  const bmiDisplay = document.getElementById('bmi_display');\n  const bmiHidden = document.getElementById('bmi_hidden');\n\n  function updateBMI() {\n    const h = parseFloat(heightInput.value);\n    const w = parseFloat(weightInput.value);\n    if (h > 0 && w > 0) {\n      const bmi = (w \/ Math.pow(h \/ 100, 2)).toFixed(1);\n      bmiDisplay.textContent = bmi;\n      bmiHidden.value = bmi;\n    } else {\n      bmiDisplay.textContent = '\u2014';\n      bmiHidden.value = '';\n    }\n  }\n\n  if (heightInput && weightInput) {\n    heightInput.addEventListener('input', updateBMI);\n    weightInput.addEventListener('input', updateBMI);\n  }\n})();\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Free consultation Begin your weight loss journey. Complete this 5-minute medical questionnaire. A doctor will review your case within 24 hours and respond with treatment options if you&#8217;re eligible. No commitment until your doctor approves. 1Quick eligibility check Four quick questions. If you answer &#8220;yes&#8221; to any of the last three, we may not be [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"class_list":["post-1787","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/pages\/1787","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/comments?post=1787"}],"version-history":[{"count":7,"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/pages\/1787\/revisions"}],"predecessor-version":[{"id":1801,"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/pages\/1787\/revisions\/1801"}],"wp:attachment":[{"href":"https:\/\/euslimstore.com\/de\/wp-json\/wp\/v2\/media?parent=1787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}