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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're eligible. No commitment until your doctor approves.

1Quick eligibility check

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.

2Your details

Used by your doctor to contact you and to arrange delivery if treatment is appropriate.

You can also provide this later if approved for treatment.

3About you

Your doctor uses these to determine eligibility and the appropriate starting dose.

Your BMI
4Medical history

Help your doctor understand your full health picture. Be as thorough as possible.

5Treatment preference

Optional — your doctor will recommend the best fit, but let us know if you have a preference.

6Consent & privacy

Required to process your consultation under EU medical and GDPR regulations.

By submitting, you confirm you're requesting a medical review.
A doctor will respond by email within 24 hours.

⚕ All information is encrypted and reviewed only by licensed doctors. Your data is stored on EU servers and never sold or shared. Submitting this form is not a commitment — treatment is only dispensed if your doctor confirms eligibility.

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